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Cryptosporidiosis

Última revisão: 9 Aug 2025
Última atualização: 12 Dec 2023

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • diarrhea
Detalhes completos

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
Detalhes completos

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
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • polymerase chain reaction (PCR) for Cryptosporidium species identification
  • stained stool microscopy
  • Cryptosporidium antigen detection
Detalhes completos

Investigações a serem consideradas

  • ultrasound scan of the biliary tract
  • CT scan of the biliary tract
  • endoscopic retrograde cholangiopancreatography (ERCP)
Detalhes completos

Algoritmo de tratamento

AGUDA

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

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

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.
  • Cryptosporidiosis images
  • Diagnósticos diferenciais

    • Acute diarrhea
    • Chronic diarrhea
    • Crohn disease
    Mais Diagnósticos diferenciais
  • Diretrizes

    • Health information for international travel (Yellow Book): cryptosporidiosis
    • Prevention and treatment of opportunistic infections in adults and adolescents with HIV
    Mais Diretrizes
  • Folhetos informativos para os pacientes

    Diarrhea in adults

    Diarrhea in children

    Mais Folhetos informativos para os pacientes
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