Treatment of Urticaria caused by severe cryptosporidiosis in a 17-month-old child - a case report

Cryptosporidium is an intracellular protozoan that causes gastrointestinal symptoms in humans and animals. In immunocompromised patients and children under 5 years of age, the infection is severe and can be life-threatening due to severe diarrhea. We report a case of urticaria associated with Crypto...

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Published in:BMC infectious diseases 2023-07, Vol.23 (1), p.461-461, Article 461
Main Authors: Azami, Mehdi, Amini Rarani, Saeid, Kiani, Fatemeh
Format: Article
Language:English
Subjects:
Abdomen
Allergies
Allergy in children
Animals
Antigens
Autoimmune diseases
Bacterial infections
Blood
Care and treatment
Case Report
Case reports
Cattle
Causes of
Child
Child, Preschool
Children & youth
Complications and side effects
Cryptosporidiosis
Cryptosporidiosis - diagnosis
Cryptosporidiosis - drug therapy
Cryptosporidium
Diagnosis
Diarrhea
Diarrhea - drug therapy
Female
Food allergies
Food allergy
Gastrointestinal symptoms
Health aspects
Health services
Hospitals
Humans
Immune system
Immunocompromised hosts
Infant
Infectious diseases
Iran
Livestock
Livestock farming
Livestock farms
Nitazoxanide
Oocysts
Parasites
Pathogens
Patients
Protozoa
Public health
Skin
Thyroid gland
Urticaria
Urticaria - drug therapy
Urticaria - etiology
Weight loss
Zoonoses
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description Cryptosporidium is an intracellular protozoan that causes gastrointestinal symptoms in humans and animals. In immunocompromised patients and children under 5 years of age, the infection is severe and can be life-threatening due to severe diarrhea. We report a case of urticaria associated with Cryptosporidium in a 17-month-old female Iranian child. The patient had moderate diarrhea (> 3 loose, watery stools but not more than 10 diarrhea stools in a day), weight loss, and acute urticarial (rash clears completely within 6 weeks). Since the child's father worked in livestock farming, the parasite may have been transferred from the cow or calve to the house and the child. Several Cryptosporidium oocysts were detected in the modified acid-fast staining of the child's stool sample. The patient was successfully treated with nitazoxanide (100 mg twice daily) and became negative for parasites three days after treatment and one week after discharge from the hospital. The child was observed to produce 
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The child was observed to produce &lt; 3 loose stools in the previous 24 h after 1-week post-treatment and after 6 months of follow-up. A number of parasites are associated with urticaria, but to our knowledge, there is no information on Cryptosporidium-induced urticaria. 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The child was observed to produce &lt; 3 loose stools in the previous 24 h after 1-week post-treatment and after 6 months of follow-up. A number of parasites are associated with urticaria, but to our knowledge, there is no information on Cryptosporidium-induced urticaria. Therefore, our result may be evidence for the role of this parasite in the development of urticaria if other causes such as food allergies, autoimmune diseases and etc. don't role in urticaria.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>37430189</pmid><doi>10.1186/s12879-023-08446-y</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Abdomen
Allergies
Allergy in children
Animals
Antigens
Autoimmune diseases
Bacterial infections
Blood
Care and treatment
Case Report
Case reports
Cattle
Causes of
Child
Child, Preschool
Children & youth
Complications and side effects
Cryptosporidiosis
Cryptosporidiosis - diagnosis
Cryptosporidiosis - drug therapy
Cryptosporidium
Diagnosis
Diarrhea
Diarrhea - drug therapy
Female
Food allergies
Food allergy
Gastrointestinal symptoms
Health aspects
Health services
Hospitals
Humans
Immune system
Immunocompromised hosts
Infant
Infectious diseases
Iran
Livestock
Livestock farming
Livestock farms
Nitazoxanide
Oocysts
Parasites
Pathogens
Patients
Protozoa
Public health
Skin
Thyroid gland
Urticaria
Urticaria - drug therapy
Urticaria - etiology
Weight loss
Zoonoses
title Treatment of Urticaria caused by severe cryptosporidiosis in a 17-month-old child - a case report
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