Cyclospora cayetanensis infection in transplant traveller: a case report of outbreak

Cyclospora cayetanensis is a protozoan parasite causing intestinal infections. A prolonged course of infection is often observed in immunocompromised individuals. In Europe, less than 100 cases of C. cayetanensis infection have been reported to date, almost all of which being diagnosed in individual...

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Bibliographic Details
Published in:Parasites & vectors 2015-08, Vol.8 (1), p.411-411, Article 411
Main Authors: Bednarska, Małgorzata, Bajer, Anna, Welc-Falęciak, Renata, Pawełas, Andrzej
Format: Article
Language:English
Subjects:
Acute Diarrhoea
Adult
Anti-Infective Agents - therapeutic use
Blastocystis hominis
case studies
Cyclospora - genetics
Cyclospora - isolation & purification
Cyclospora cayetanensis
Cyclosporiasis - drug therapy
Cyclosporiasis - epidemiology
Cyclosporiasis - parasitology
Deflazacort
diarrhea
Diarrhea - parasitology
Disease Outbreaks
Gastrointestinal diseases
Genetic aspects
Health aspects
Humans
Immunocompromised Host
immunocompromised population
immunosuppression
Indonesia
Indonesia - epidemiology
Infection
kidney transplant
Kidney Transplantation - adverse effects
Kidneys
Male
mixed infection
Molecular Sequence Data
Mycophenolic Acid
oocysts
Organ transplant recipients
parasites
Patient outcomes
patients
Physiological aspects
Poland
Poland - epidemiology
Protozoa
Renal Transplant Patient
Renal Transplant Recipient
ribosomal DNA
RNA, Ribosomal, 18S - genetics
Short Report
Transplantation
Travel
Travelers
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Description
Summary:Cyclospora cayetanensis is a protozoan parasite causing intestinal infections. A prolonged course of infection is often observed in immunocompromised individuals. In Europe, less than 100 cases of C. cayetanensis infection have been reported to date, almost all of which being diagnosed in individuals after travelling abroad. We described cases of three businessmen who developed acute traveller's diarrhoea after they returned to Poland from Indonesia. One of the travellers was a renal transplant recipient having ongoing immunosuppressive treatment. In each case, acute and prolonged diarrhoea and other intestinal disorders occurred. Oocysts of C. cayetanensis were identified in faecal smears of two of the travellers (one immunosuppressed and one immunocompetent). Diagnosis was confirmed by the successful amplification of parasite DNA (18S rDNA). A co-infection with Blastocystis hominis was identified in the immunocompetent man. Infection of C. cayetanensis shall be considered as the cause of prolonged acute diarrhoea in immunocompromised patients returning from endemic regions.
ISSN:1756-3305
1756-3305
DOI:10.1186/s13071-015-1026-8