Resumo
Definição
History and exam
Key diagnostic factors
- presença de fatores de risco
- diarreia
Other diagnostic factors
- dor abdominal
- vômitos
- perda de apetite
- febre baixa
- perda de peso
- dor abdominal no quadrante superior direito
- icterícia
- secreção nasal e dor facial
- tosse e dispneia
Risk factors
- contato com gado, especialmente bezerros e carneiros
- viagem internacional
- idade: 3 anos ou menos
- deficiência imune: mediada por células-T
- natação e esportes aquáticos recreacionais
- beber água não filtrada
- idas ao banheiro ou trocas de fraldas de crianças menores
- Desnutrição
Diagnostic tests
1st tests to order
- reação em cadeia da polimerase para identificar espécies de Cryptosporidium
- microscopia com coloração das fezes
- Detecção de antígeno de Cryptosporidium
Tests to consider
- ultrassonografia do trato biliar
- tomografia computadorizada (TC) do trato biliar
- colangiopancreatografia retrógrada endoscópica (CPRE)
Treatment algorithm
imunocompetentes
imunocomprometido
Contributors
Authors
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
Disclosures
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
Disclosures
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.
Peer reviewers
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
Disclosures
SG declares that she has no competing interests.
Judy Streit, MD
Clinical Professor
University of Iowa Hospitals and Clinics
Iowa City
IA
Disclosures
JS declares that she has no competing interests.
References
Key articles
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].Full text
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.Full text Abstract
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].Full text
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].Full text
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Diarreia aguda
- Diarreia crônica
- Doença de Crohn
More DifferentialsGuidelines
- Health information for international travel (Yellow Book): cryptosporidiosis
- Prevention and treatment of opportunistic infections in adults and adolescents with HIV
More GuidelinesPatient information
Diarreia em crianças
Diarreia em adultos
More Patient information
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