Cryptosporidhim parvun: Intensity of infection and oocyst excretion patterns in healthy volunteers

Cynthia L. Chappell, Pablo C. Okhuysen, Charles R. Sterling, Herbert L. DuPont

    Research output: Contribution to journalArticlepeer-review

    157 Scopus citations

    Abstract

    Data about human Cryptosporidium parvum infection have originated from travelers, community and day care center outbreaks, and persons infected with the human immunodeficiency virus. In addition, experimental infection in 29 antibody-negative, healthy, adult volunteers generated information on the dose-infection response of C. parvum (Iowa strain). In that report, low inocula were sufficient to cause infection in 18 and illness in 7 persons. To further define the duration and intensity of infection in this population, oocyst shedding patterns were investigated in the 18 subjects infected with C. parvum. Oocyst quantitation revealed that volunteers with diarrheal illness (n = 7) excreted more oocysts over the course of the infection than did volunteers without diarrhea (n = 11; P < .05). Symptomatic subjects were more likely to shed oocysts on consecutive days. Further, a statistical nonsignificant inverse trend (r2 = .330, P = .136) was seen between challenge dose and total excreted oocysts. This paradox may relate to receptor saturation or a toxic effect on cells, parasites, or both afforded by a high inoculum.

    Original languageEnglish (US)
    Pages (from-to)232-236
    Number of pages5
    JournalJournal of Infectious Diseases
    Volume173
    Issue number1
    DOIs
    StatePublished - 1996

    ASJC Scopus subject areas

    • Immunology and Allergy
    • Infectious Diseases

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