Presentation
The predominant C. hominis IbA9G3 genotype was present in all regions, and more frequent in the western region. An incompletely characterized Ib, and the IbA13G3, IbA9G2 and IbA14G2 genotypes were present only in the western region. [ncbi.nlm.nih.gov]
Entire Body System
- Collapse
He tries to resist capture after crashing but he collapses in front of several soldiers. [destroyallhumans.wikia.com]
[…] shown by strand (see key, left (e) and right (f)); tRNAs (blue) and rRNAs (magenta) (g); percentage identity to C. parvum in 5-kb windows (see key; average identities are shown at the foot of each chromosome) (h); BAC clone coverage (overlapping clones collapsed [nature.com]
[…] strand (see key, left ( e ) and right ( f )); tRNAs (blue) and rRNAs (magenta) ( g ); percentage identity to C. parvum in 5-kb windows (see key; average identities are shown at the foot of each chromosome) ( h ); BAC clone coverage (overlapping clones collapsed [dx.doi.org]
Gastrointestinal
- Abdominal Pain
The symptoms occurred only in the boy as gastrointestinal disorders lasting 5 days, and manifested by abdominal pain, an elevated body temperature (37.2 °C), mild diarrhoea, accompanied by lassitude, depression and anorexia. [ncbi.nlm.nih.gov]
Other symptoms may include anorexia, nausea/vomiting and abdominal pain. Extra-intestinal sites include the lung, liver and gall bladder where it causes respiratory cryptosporidosis, hepatitis and cholecystitis. [protists.ensembl.org]
Children Signs of dehydration, such as thirst and decreased urination, lethargy, dry mouth, sunken eyes, feeling faint on standing fever abdominal pain bloody diarrhoea any symptoms in a child less than 12 months of age. [sahealth.sa.gov.au]
- Acute Diarrhea
Likewise, Giardia infects approximately 200 million individuals worldwide, and causes acute diarrhea in children under 5 years. [ncbi.nlm.nih.gov]
The primary symptom is acute diarrhea. Other symptoms include abdominal pain, vomiting, headache, loss of appetite and a low-grade fever. [buffalowater.org]
Prolonged episodes of acute diarrhea reduce growth and increase risk of persistent diarrhea in children. Gastroenterology. 2010; 139: 1156-1164 11. Opintan JA Newman MJ Ayeh-Kumi PF et al. [thelancet.com]
Psychiatrical
- Denial
The officials were in denial that turbidity could be a measure associated with microbial contamination or that the water could be a source for an outbreak. [healio.com]
Workup
Microbiology
- Giardia Lamblia
Giardia lamblia is a common intestinal protozoan that is associated with diarrhea and, perhaps, growth faltering in impoverished settings. [ncbi.nlm.nih.gov]
Consider first requesting EIAs for Giardia and Cryptosporidium (See test Giardia lamblia, Direct Detection EIA [182204] or Giardia lamblia, Direct Detection EIA and Cryptosporidium, Direct Detection EIA [183558] ). [labcorp.com]
Giardia The EPA’s minimum removal or inactivation standard for giardia lamblia is 99.9%, a 3-log reduction. [berkeywater.com]
Colonoscopy
- Colitis
Abstract A case report of acute self-limiting colitis associated with enteric Cryptosporidium infection in an immunocompetent child is presented. [ncbi.nlm.nih.gov]
Treatment
Oocyst numbers were also determined in settled lagoon sludge samples collected from three operational rural wastewater treatment plants (WWTPs). [ncbi.nlm.nih.gov]
For more information about SPU’s water treatment, see the Cedar Water Treatment Facility and Tolt Water Treatment Facility . [seattle.gov]
After the Milwaukee outbreak, many water treatment plants installed UV in order to meet the USEPA Long Term 2 Enhanced Surface Water Treatment Rule since Cryptosporidium treatment was required. [trojanuv.com]
Portland Water Bureau Treatment Variance Request Final Order Issued by OHA Granting Portland's Treatment Variance [portlandoregon.gov]
Etiology
Etiologic agents were diagnosed only at postmortem evaluation. CMV intranuclear inclusions were seen in the terminal ileum, colon and vermiform appendix. Cryptosporidium oocysts were also present in the intestinal brush border of the colon. [ncbi.nlm.nih.gov]
In 2015, another major international study—The Etiology, Risk Factors, and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development Project (MAL-ED)—corroborated and extended the surprising findings of [path.org]
Epidemiology
KEYWORDS: Asia; Cryptosporidiosis; Cryptosporidium; Epidemiology [ncbi.nlm.nih.gov]
Epidemiology of cryptosporidiosis among European AIDS patients. Genitourin Med 1996 ; 72 : 128 –31. [doi.org]
Prevention
Abstract The detection and characterization of genotypes and sub genotypes of Cryptosporidium and Giardia is essential for their enumeration, surveillance, prevention, and control. [ncbi.nlm.nih.gov]
Centers for Disease Control and Prevention. Includes information on the organism's biology, its risks and prevention and control. USDA. Agricultural Research Service. [nal.usda.gov]
Prevention Illness is preventable by protecting food and water from fecal contamination as well as practicing good hand hygiene, especially before and after using the bathroom, changing diapers, touching animals and before eating or preparing food. [gov.mb.ca]
Do not use medicines to prevent diarrhea until you ask your health care professional. To prevent dehydration, take frequent sips of a rehydration drink (such as Pedialyte). [healthy.kaiserpermanente.org]