Tallant Caitlin, Huddleston Patrick, Alshanberi Asim, Misra Subhasis
School of Medicine, Texas Tech University Health Sciences Center , Amarillo, TX, USA.
Department of Internal Medicine, University of Miami Health Systems , Miami, FL, USA.
Clin Pract. 2016 Jul 4;6(2):837. doi: 10.4081/cp.2016.837. eCollection 2016 Apr 26.
Severe diarrheal illness in children can be attributed to a number of different microbiological agents. Without appropriate microbiological testing of stool samples, patients who present with multiple days of severe diarrhea might have a delay in proper diagnosis and treatment. Here, we report a case of an immunocompetent pediatric patient presenting with acute cryptosporidiosis. Humans and bovine species are known hosts of cryptosporidium and several studies have evaluated the zoonotic transmission of cryptosporidium from cattle to humans. Adding diagnostic tests for cryptosporidium like Ziehl-Neelsen staining of stool or fecal rapid antigen detection techniques should be considered in the workup of patients presenting with undifferentiated, severe diarrheal illness, especially in those who have close contact with livestock.
儿童严重腹泻病可归因于多种不同的微生物病原体。如果不对粪便样本进行适当的微生物检测，出现多日严重腹泻的患者可能会延迟正确的诊断和治疗。在此，我们报告一例免疫功能正常的儿科患者患急性隐孢子虫病的病例。人类和牛是隐孢子虫已知的宿主，多项研究评估了隐孢子虫从牛到人的人畜共患病传播情况。对于出现未分化严重腹泻病的患者，尤其是那些与牲畜有密切接触的患者，在检查过程中应考虑增加隐孢子虫诊断检测，如粪便的齐-尼氏染色或粪便快速抗原检测技术。
