2000, Number 1
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Microbiología 2000; 42 (1)
Cyclospora cayetanensis infection: Laboratory diagnostic
Vázquez TO, Jiménez DR, Campos RT, Valencia RS, Romero CR, Gamez AV, Martínez-Barbabosa I
Language: Spanish
References: 31
Page: 45-52
PDF size: 228.90 Kb.
ABSTRACT
Cyclospora cayetanensis is an Apicomplexa protozoa which was found to cause gastroenteritis in humans in 1979. This paper reviews the laboratory diagnosis of the disease. The usefulness of direct examination of fresh fecal matter with special acid-fast stains is emphasized as well as the morphometric differentiation between this organism and other similar coccidia. The paper reviews the sporulation technique of
Cyclospora cayetanensis for the recognition and differentiation of artifacts and greenblue algae. Another aspect discussed is the morphology of the parasite in histological sections and with electromicroscopic examination whereby tissue morphology changes caused by the microorganism can be identified. The experience of the Service and Laboratory of Parasitology of the Instituto Nacional de Pediatría of Mexico in the laboratory diagnosis of this protozoosis is described. The paper is oriented towards the inclussion of
Cyclospora cayetanensis in the diagnostic protocols for the study of diarrheas in our health Institutions.
REFERENCES
Arrowood, M. J. y C. R. Sterling. 1989. Comparison of conventional staining methods and monoclonal-based method for Cryptosporidium oocyst detection. J. Clin. Microbiol. 27:1490-1495.
Ash, L. R. y T. C. Origel. 1991. Parasites: A guide to laboratory procedures and identification. Chicago Ill: American Society of Clinical Pathologists.
Ashford, R. W. 1979. Occurrence of an undescribed coccidian in man in Papua New Guinea. Am. Trop. Med. Parasitol. 73:497-500.
Bendall, R. P., S. Lucas, A. Moody, G. Tovey, y P. L. Chiodini. 1993. Diarrhoeae associated with cyanobacterium-like bodies: A new coccidian enteritis of man. Lancet 341:590-592.
Berlin, W. O. G., M. S. Novak, K. R. Porschen, G. E. Long, N. G. Stelma y W. F. Schaeffer III. 1994. Recovery of Cyclospora organisms from patients with prolonged diarrhea. Clin. Infect. Dis. 18:606-609.
Berlin, W. O. G., C. N. Conteas y T. M. Sowerby. 1996. Detection of Isospora in the stools of AIDS patients using a new rapid autoflorescence technique. AIDS 10:442-443.
Colomina, R. J. y S. J. Villar. 1997. Características morfológicas, clínicas y terapéuticas de Cyclospora cayetanensis. Bol. Chil. Parasitol. 52:26-32.
Connor, B. A., D. Shlim, J. V. Scholes, J. L. Rayburn, J. Reidy y R. Rajah. 1993. Pathology changes in the small bowel in nine patients with diarrhea associated with a coccidia -like body. Ann. Intern. Med. 199:373-382.
Deluol, A. M., M. F. Teilhac, J. L. Poirot, F. Heyer, L. Beaugerie, y F. P. Chatelet. 1996. Cyclospora sp: lifecycle studies in patient by electron-microscopy. J. Eur. Microbiol. 43:128.
Eberhard, L. M., J. N. Pieniazek, J. M. Arrowood. 1997. Laboratory Diagnosis of Cyclospora Infections. Arch. Patol. Lab. Med. 121:792-797.
Entrala, E., M. Rueda-Rubio, D. Janssen, C. Mascaró. 1995. Influence of hydrogen peroxide on acid-fast staining of Cryptosporidium parvum oocysts. Int. J. Parasitol. 26:1473-1477.
Fryauff, D. J., R. Krippner, C. E. Purnomo y P. Echeverria. 1996. Short report: case report of Cyclospora infection acquired in Indonesia and treated with cotrimoxazole. Am. J. Trop. Med. Hyg. 55:584-585.
García, L. S., D. A. Bruckner. 1997. Diagnostic Medical Parasitology, 3rded. Washington DC: Am. Soc. Microbiol. Press.
Goodgame, W. R. 1996. Understanding intestinal spore – forming protozoa: Cryptosporidia, microsporidia, Isospora and Cyclospora . Ann intern Med. 124:429-441.
Huang, P., J. T. Weber y D. M. Sosin. 1995. The first reported outbreak of diarrhea illness associated with Cyclospora in the United States. Ann. Intern. Med. 123:409-14.
Long, E. G., E. H. White, W. W. Carmichael, P. M. Quinlisk, R. Raja, B. L. Swisher, H. Daugharty y M. T. Cohen. 1991. Morphologic and staining characteristics of a cyanobacterium-like organism associated with diarrhea. J. Infect. Dis. 1991 164:199-202.
Long, E. G., A. Ebrahimzadeh, E. H. Withe, B. Swisher, C. S. Callaway. 1990. Alga associated with diarrhea in patients with acquired immunodeficiency syndrome and in travelers. J. Clin. Microbiol. 1990 28:1101-1104.
Mc Dougall, R. J. y M. W. Tandy. 1993. Coccidian/Cyanobacterium-like bodies as a cause of diarrhoea in Australia. Pathology 25:375-378.
Murray, P. R., E. J. Baron, M. A. Pfaller, F. C. Tenover y R. H. Yolken. 1995. Manual of Clinical Microbiology. 6thed. Washington DC: Am. Soc. Microbiol. Press.
Oii, W. W., K. S. Zimmerman y A. C. Needham. 1995. Cyclospora species as a gastrointestinal pathogen in immunocompetent host. J. Clin. Microbiol. 33:1267-1269.
Ortega, Y. R., R. H. Gilman y C R. Sterling. 1994. A new coccidian parasite (Apicomplexa: Eimeridae) from humans. J. Parasitol. 80:625-629.
Ortega, Y. R., C. R. Sterling, R. H. Gilman, V. A. Cama y F. Díaz. 1993. Cyclospora species: A new protozoan pathogen of humans. New Eng. J. Med. 328:1308-1312.
Outbreak of diarrheal illness associated with a cyanobacterium-like body. (CLB). 1991. Epi-Aid-Report. 90:762.
Pape, J. W., I. R. Verdier, M. Boncy, J. Boney, W. D. Johnson Jr. 1994. Cyclospora infection in adults infected with HIV. Ann. Intern. Med. 121:654-657.
Pieniazek, N. J., S. B. Slemenda, A. J. da Silva, E. M. Alfano y M. J. Arrowood. 1996. PCR confirmation of infection with Cyclospora cayetanensis. Emerg. Infect. Dis. 2:342-343.
Relman, D. A., T. M. Shmidt y A. Gajadhar. 1996. Molecular phylogenetic analysis of Cyclospora, the human intestinal pathogen, suggests that it is closely related to Eimeria species. J. Infect. Dis. 173:440-445.
Shlim, D. R., M. T. Cohen, M. Eaton, R. Rajah, E. G. Long y B. L. Ungar. 1991. An alga-like organism associated with outbreaks of prolonged diarrhea among foreigners in Nepal. Am. J. Trop. Med. Hyg. 45:383-389.
Soave, R. 1996. Cyclospora: an overview. Clin. Infect. Dis. 23:429-437.
Vázquez, T. O., D. R. Jiménez, I. Martínez-Barbabosa, H. A. Ruíz, Y. Y. García. 1997. Frecuencia de Cryptosporidium, Cyclospora y Enterocytozoon. Rev. Méx. Patol. Clín. 44:79-84.
Wurtz, M. R., E. F. Kocka, S. C. Peter, M. C. Weldon-Line, A. Kuritza y P. Youngbluth. 1993. Clinical characteristics of seven cases of diarrhea associated with a novel acid-fast organism in the stools. Clin. Infect. Dis. 16:136-138.
Wurtz, R. 1994. Cyclospora a newly identified pathogen of humans. Clin. Infect. Dis.18:620-623.