Cyclospora cayetanensis: First report of imported and autochthonous infections in Kuwait

Introduction: The intestinal coccidian parasites Cryptosporidium spp. and Cyclospora cayetanensis have emerged as significant human pathogens worldwide. The reports of Cyclospora cayetanensis infection in the Middle East are sporadic and no case has been reported from Kuwait.  Methodology: Stool...

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Main Authors: Jamshaid Iqbal, Parsotam Ravjee Hira, Faiza Al-Ali, Nabila Khalid
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2011-05-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/1722
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author Jamshaid Iqbal
Parsotam Ravjee Hira
Faiza Al-Ali
Nabila Khalid
author_facet Jamshaid Iqbal
Parsotam Ravjee Hira
Faiza Al-Ali
Nabila Khalid
author_sort Jamshaid Iqbal
collection DOAJ
description Introduction: The intestinal coccidian parasites Cryptosporidium spp. and Cyclospora cayetanensis have emerged as significant human pathogens worldwide. The reports of Cyclospora cayetanensis infection in the Middle East are sporadic and no case has been reported from Kuwait.  Methodology: Stool specimens were collected from six individuals presenting with watery diarrhoea of varying degree and severity at the District General hospitals, Kuwait. Four patients were male, two were female and their ages ranged from 5 to 64 years. Three cases were seen among the migrant population from the Indian subcontinent who had recently returned to Kuwait and two cases were seen in the local population with no history of travel abroad. The stool smears were stained with modified acid-fast stain and examined under ultraviolet (UV) fluorescence illumination. . Results: Cyclospora cayetanensis oocysts with variable staining characteristics were detected by microscopy. Two of the cases were also associated with other enteric pathogens. Clinical suspicion of Cyclospora infection was not recorded for any of the cases. All patients showed remarkable symptomatic and parasitologic improvements upon treatment with trimethoprim/sulfamethoxazole. Conclusion: Cyclospora spp. are important aetiological agents of diarrhoea in the Middle East. An awareness of the parasitic infection and use of appropriate diagnostic modalities are essential to elucidate the clinical and epidemiological significance of the parasitosis in this geographic area.
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publishDate 2011-05-01
publisher The Journal of Infection in Developing Countries
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spelling doaj-art-a20566c7cac94487aedabbeecc1f46f42025-08-20T02:14:10ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802011-05-0150510.3855/jidc.1722Cyclospora cayetanensis: First report of imported and autochthonous infections in KuwaitJamshaid Iqbal0Parsotam Ravjee Hira1Faiza Al-Ali2Nabila Khalid3Department of Microbiology, Faculty of Medicine, Kuwait University, PO Box: 24923, Safat 13110, KuwaitDepartment of Microbiology, Faculty of Medicine, Kuwait University, PO Box: 24923, Safat 13110, KuwaitDepartment of Laboratories, Farwania Hospital, PO Box: 2, Safat 13001, KuwaitDepartment of Microbiology, Faculty of Medicine, Kuwait University, PO Box: 24923, Safat 13110, Kuwait Introduction: The intestinal coccidian parasites Cryptosporidium spp. and Cyclospora cayetanensis have emerged as significant human pathogens worldwide. The reports of Cyclospora cayetanensis infection in the Middle East are sporadic and no case has been reported from Kuwait.  Methodology: Stool specimens were collected from six individuals presenting with watery diarrhoea of varying degree and severity at the District General hospitals, Kuwait. Four patients were male, two were female and their ages ranged from 5 to 64 years. Three cases were seen among the migrant population from the Indian subcontinent who had recently returned to Kuwait and two cases were seen in the local population with no history of travel abroad. The stool smears were stained with modified acid-fast stain and examined under ultraviolet (UV) fluorescence illumination. . Results: Cyclospora cayetanensis oocysts with variable staining characteristics were detected by microscopy. Two of the cases were also associated with other enteric pathogens. Clinical suspicion of Cyclospora infection was not recorded for any of the cases. All patients showed remarkable symptomatic and parasitologic improvements upon treatment with trimethoprim/sulfamethoxazole. Conclusion: Cyclospora spp. are important aetiological agents of diarrhoea in the Middle East. An awareness of the parasitic infection and use of appropriate diagnostic modalities are essential to elucidate the clinical and epidemiological significance of the parasitosis in this geographic area. https://jidc.org/index.php/journal/article/view/1722CyclosporiasisautochthonousimportedKuwait
spellingShingle Jamshaid Iqbal
Parsotam Ravjee Hira
Faiza Al-Ali
Nabila Khalid
Cyclospora cayetanensis: First report of imported and autochthonous infections in Kuwait
Journal of Infection in Developing Countries
Cyclosporiasis
autochthonous
imported
Kuwait
title Cyclospora cayetanensis: First report of imported and autochthonous infections in Kuwait
title_full Cyclospora cayetanensis: First report of imported and autochthonous infections in Kuwait
title_fullStr Cyclospora cayetanensis: First report of imported and autochthonous infections in Kuwait
title_full_unstemmed Cyclospora cayetanensis: First report of imported and autochthonous infections in Kuwait
title_short Cyclospora cayetanensis: First report of imported and autochthonous infections in Kuwait
title_sort cyclospora cayetanensis first report of imported and autochthonous infections in kuwait
topic Cyclosporiasis
autochthonous
imported
Kuwait
url https://jidc.org/index.php/journal/article/view/1722
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AT parsotamravjeehira cyclosporacayetanensisfirstreportofimportedandautochthonousinfectionsinkuwait
AT faizaalali cyclosporacayetanensisfirstreportofimportedandautochthonousinfectionsinkuwait
AT nabilakhalid cyclosporacayetanensisfirstreportofimportedandautochthonousinfectionsinkuwait