Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- diarrhea
Outros fatores diagnósticos
- abdominal pain
- vomiting
- loss of appetite
- low-grade fever
- loss of weight
- right upper quadrant abdominal pain
- jaundice
- nasal discharge and facial pain
- cough and dyspnea
Fatores de risco
- contact with farm animals, especially calves and lambs
- international travel
- age: 3 years or younger
- immune deficiency: T-cell-mediated
- swimming and recreational water sports
- drinking unfiltered water
- toileting or changing diapers of young children
- Malnutrition
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- polymerase chain reaction (PCR) for Cryptosporidium species identification
- stained stool microscopy
- Cryptosporidium antigen detection
Investigações a serem consideradas
- ultrasound scan of the biliary tract
- CT scan of the biliary tract
- endoscopic retrograde cholangiopancreatography (ERCP)
Algoritmo de tratamento
immunocompetent
immunocompromised
Colaboradores
Autores
Rachel M. Chalmers, BSc, PhD
Consultant Clinical Scientist/Honorary Professor
Director of the Cryptosporidium Reference Unit (England and Wales)
Public Health Wales Microbiology
Singleton Hospital
Swansea
UK
Declarações
RMC is an author of a number of references cited in this topic.
Angharad P. Davies, MA, MBBCh, MRCP, FRCPath, PhD
Clinical Associate Professor
College of Medicine
Swansea University
Swansea
UK
Declarações
APD is a Trustee Board Member for the Royal College of Pathologists and is an author of a number of references cited in this topic.
Revisores
Shauna Gunaratne, MD, MPH, DTM&H, CTropMed
Assistant Professor of Clinical Medicine
Department of Medicine
Division of Infectious Diseases
Columbia University Irving Medical Center
New York
NY
Declarações
SG declares that she has no competing interests.
Judy Streit, MD
Clinical Professor
University of Iowa Hospitals and Clinics
Iowa City
IA
Declarações
JS declares that she has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Referências
Principais artigos
Centers for Disease Control and Prevention. CDC Yellow Book 2024: health information for international travel. Section 5: travel-associated infections and diseases - cryptosporidiosis. May 2023 [internet publication].Texto completo
Shane AL, Mody RK, Crump JA, et al. 2017 Infectious Diseases Society of America clinical practice guidelines for the diagnosis and management of infectious diarrhea. Clin Infect Dis. 2017 Nov 29;65(12):1963-73.Texto completo Resumo
National Institutes of Health, Centers for Disease Control and Prevention, HIV Medicine Association, and Infectious Diseases Society of America. Panel on Guideline for the Prevention and Treatment of Opportunistic Infections in Children with and Exposed to HIV. Guidelines for the prevention and treatment of opportunistic infections in children with and exposed to HIV: Cryptosporidiosis. 2019 [internet publication].Texto completo
National Institutes of Health, Centers for Disease Control and Prevention, HIV Medicine Association, and Infectious Diseases Society of America. Panel on Guidelines for the Prevention and Treatment of Opportunistic Infections in Adults and Adolescents with HIV. Guidelines for the prevention and treatment of opportunistic infections in adults and adolescents with HIV: cryptosporidiosis. 2023 [internet publication].Texto completo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Acute diarrhea
- Chronic diarrhea
- Crohn disease
Mais Diagnósticos diferenciaisDiretrizes
- Health information for international travel (Yellow Book): cryptosporidiosis
- Prevention and treatment of opportunistic infections in adults and adolescents with HIV
Mais DiretrizesFolhetos informativos para os pacientes
Diarrhea in adults
Diarrhea in children
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