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Keywords = Cryptosporidium infection

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14 pages, 636 KiB  
Article
Molecular Epidemiology of Cryptosporidium spp., Giardia duodenalis, and Enterocytozoon bieneusi in Guizhou Angus Calves: Dominance of Angus Cattle-Adapted Genotypes and Zoonotic Potential of E. bieneusi
by Peixi Qin, Zhuolin Tao, Kaizhi Shi, Jiaxian Zhao, Bingyan Huang, Hui Liu, Chunqun Wang, Jigang Yin, Guan Zhu, Simone M. Cacciò and Min Hu
Microorganisms 2025, 13(8), 1735; https://doi.org/10.3390/microorganisms13081735 - 25 Jul 2025
Viewed by 318
Abstract
Limited molecular data exist on zoonotic parasites Cryptosporidium spp., Giardia duodenalis, and Enterocytozoon bieneusi in Angus calves from Guizhou, China. This study constitutes the first molecular epidemiological survey of these pathogens in this region. 817 fecal samples from Angus calves across 7 [...] Read more.
Limited molecular data exist on zoonotic parasites Cryptosporidium spp., Giardia duodenalis, and Enterocytozoon bieneusi in Angus calves from Guizhou, China. This study constitutes the first molecular epidemiological survey of these pathogens in this region. 817 fecal samples from Angus calves across 7 intensive beef farms (Bijie City). Nested PCR methods targeting SSU rRNA (Cryptosporidium spp.), gp60 (Cryptosporidium bovis subtyping), bg/gdh/tpi (G. duodenalis), and ITS (E. bieneusi) coupled with DNA sequencing were employed. DNA sequences were analyzed against the NCBI. database. Statistical differences were assessed via a generalized linear mixed-effects model. Cryptosporidium spp. prevalence 23.5% (192/817; 95% CI 28.1–34.6%), with C. bovis predominating 89.6% (172/192; 95% CI 84.4–93.5%) and six subtypes (XXVIa-XXVIf). Highest infection in 4–8-week-olds 29.9% (143/479; 95% CI 25.8–34.1%) (p < 0.01). G. duodenalis: 31.3% (256/817; 95% CI 28.1–34.6%) positive, overwhelmingly assemblage E 97.6% (6/256; 95% CI 0.9–5.0%), zoonotic assemblage A was marginal 0.7% (6/817; 95% CI 0.3–1.6%). Farm-level variation exceeded 10-fold (e.g., Gantang: 55.0% (55/100; 95% CI 44.7–65.0%) vs. Tieshi: 4.9% (5/102; 95% CI 1.6–11.1%). E. bieneusi: prevalence 19.7% (161/817; 95% CI 17.0–22.6%), exclusively zoonotic genotypes BEB4: 49.7% (80/161; 95% CI 41.7–57.7%); I: 40.4% (65/161; 95% CI 32.7–48.4%). Strong diarrhea association (p < 0.01) and site-specific patterns (e.g., Guanyindong: 39.2%). While Giardia exhibited the highest prevalence (31.3%) with minimal zoonotic risk, Enterocytozoon—despite lower prevalence (19.7%)—posed the greatest public health threat due to exclusive circulation of human-pathogenic genotypes (BEB4/I) and significant diarrhea association, highlighting divergent control priorities for these enteric parasites in Guizhou calves. Management/Public health impact: Dominant zoonotic E. bieneusi genotypes (BEB4/I) necessitate: 1. Targeted treatment of 4–8-week-old Angus calves. 2. Manure biofermentation (≥55 °C, 3 days), and 3. UV-disinfection (≥1 mJ/cm2) for karst water to disrupt transmission in this high-humidity region. Full article
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12 pages, 366 KiB  
Article
Molecular Epidemiological Survey of Cryptosporidium in Ochotona curzoniae and Bos grunniens of Zoige County, Sichuan Province
by Tian-Cai Tang, Ri-Hong Jike, Liang-Quan Zhu, Chao-Xi Chen and Li-Li Hao
Animals 2025, 15(14), 2140; https://doi.org/10.3390/ani15142140 - 19 Jul 2025
Viewed by 319
Abstract
In order to investigate the infection status of Cryptosporidium in O. curzoniae and B. grunniens in Zoige County, Sichuan Province, fecal samples from B. grunniens and gastrointestinal contents from captured O. curzoniae were collected between March and December 2023 from five townships (Dazhasi, [...] Read more.
In order to investigate the infection status of Cryptosporidium in O. curzoniae and B. grunniens in Zoige County, Sichuan Province, fecal samples from B. grunniens and gastrointestinal contents from captured O. curzoniae were collected between March and December 2023 from five townships (Dazhasi, Axi, Hongxing, Tangke, and Maixi). Genomic DNA was extracted, and nested PCR targeting the small subunit (SSU) rRNA gene of Cryptosporidium was performed. PCR-positive products were sequenced, trimmed, aligned, and subjected to phylogenetic analysis to determine species and genotypes. A total of 242 samples were obtained, of which 20 were Cryptosporidium SSU rRNA-positive, yielding an overall detection rate of 8.3% (20/242). The detection rates of O. curzoniae and B. grunniens were 7.0% (8/114) and 9.4% (12/128), respectively. Among the five sampling sites, Maixi town exhibited the highest detection rate (32.4%, 11/44), followed by Hongxing town (15.2%, 7/46) and Tangke town (4.6%, 2/44). Phylogenetic analysis detected an unidentified Cryptosporidium sp. in O. curzoniae, while C. bovis (n = 10) and C. ryanae (n = 2) were detected in B. grunniens. These findings demonstrate that Cryptosporidium infections are present in both O. curzoniae and B. grunniens in Zoige County, with notable differences in infection rates and species composition. Continued surveillance of Cryptosporidium in local livestock and wildlife is warranted to provide critical data for regional public health management. Full article
(This article belongs to the Special Issue Coccidian Parasites: Epidemiology, Control and Prevention Strategies)
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9 pages, 589 KiB  
Article
Occurrence and Molecular Characterization of Cryptosporidium spp. in Swine Farms in Northeastern Spain
by Laura Garza-Moreno, Celia León and Joaquín Quílez
Pathogens 2025, 14(7), 665; https://doi.org/10.3390/pathogens14070665 - 5 Jul 2025
Viewed by 309
Abstract
Cryptosporidium spp. are protozoan parasites that cause cryptosporidiosis, an enteric disease that can affect a wide range of vertebrate hosts. Pigs play a potential role in the transmission of Cryptosporidium spp. to humans, although infections are most often subclinical. This study aimed to [...] Read more.
Cryptosporidium spp. are protozoan parasites that cause cryptosporidiosis, an enteric disease that can affect a wide range of vertebrate hosts. Pigs play a potential role in the transmission of Cryptosporidium spp. to humans, although infections are most often subclinical. This study aimed to assess the occurrence and molecular characterization of Cryptosporidium spp. in swine farms located in Aragón, northeastern Spain. Fecal samples (n = 72) were collected from 10 breeding farms, encompassing various production stages (lactation, nursery, fattening, and/or wean-to-finish). Data regarding the type of production system (two- or three-stage), production stages, and farming facilities (the type of flooring and water source) associated with the parasite presence were also analyzed using a questionnaire. The results showed that Cryptosporidium spp. were more frequently detected in fecal samples originating from three-stage production systems (21.9%) compared to two-stage systems (12.5%). Samples from the fattening stage exhibited the highest positivity rate and estimated oocyst count (3.0 oocyst/microscopic field). Furthermore, the molecular characterization of Cryptosporidium spp. revealed the circulation of multiple species both among farms and within the same pig production flow, with Cryptosporidium scrofarum being the most prevalent species (7/72; 9.7%), followed by Cryptosporidium suis (1/72; 1.4%). These findings underscore the importance of the surveillance and molecular characterization of Cryptosporidium spp. for controlling infections in pigs, considering the potential for the zoonotic transmission of this parasite to humans. Full article
(This article belongs to the Special Issue Parasites and Zoonotic Diseases)
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13 pages, 968 KiB  
Article
Identification of Parasitic Infections by Analyzing Honeybees, Honey, and Pollen Using Droplet Digital RT-PCR
by Luigi Jacopo D’Auria, Andrea Mancusi, Yolande Thérèse Rose Proroga, Irene Dini, Tiziana Cardellicchio, Orlandina Di Maro, Sabato De Vita, Marica Egidio, Raffaele Marrone and Giuseppe Rofrano
Microorganisms 2025, 13(7), 1487; https://doi.org/10.3390/microorganisms13071487 - 26 Jun 2025
Viewed by 375
Abstract
Toxoplasma gondii, Giardia intestinalis, and Cryptosporidium spp. are common pathogens that contaminate water and food. They can pose serious health risks, especially to vulnerable groups like immunocompromised individuals, pregnant women, young children, and aging people. An all-encompassing approach to minimizing transmission [...] Read more.
Toxoplasma gondii, Giardia intestinalis, and Cryptosporidium spp. are common pathogens that contaminate water and food. They can pose serious health risks, especially to vulnerable groups like immunocompromised individuals, pregnant women, young children, and aging people. An all-encompassing approach to minimizing transmission involves identifying effective techniques for detecting, treating, and preventing protozoan parasites. This study confirmed the effectiveness of a Droplet Digital Reverse Transcription Polymerase Chain Reaction (dd RT-PCR) method for quickly and accurately identifying Toxoplasma gondii, Giardia intestinalis, and Cryptosporidium species in honeybees, honey, and pollen by using ISO 17468 and ISO 16140 standard guidelines. The study evaluated honeybee (n = 16), honey (n = 12), and pollen (n = 8) samples collected from various apiaries in Southern Italy between June and September 2023. The results showed that honeybees, honey, and pollen can be considered bioindicators of infections by T. gondii, G. intestinalis, and Cryptosporidium spp. Furthermore, pollen, along with honey to a lesser degree, can serve as significant indicators for evaluating food safety. Therefore, it is essential to monitor their quality and purity due to environmental influences. Full article
(This article belongs to the Special Issue Advances in Genomics and Ecology of Environmental Microorganisms)
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11 pages, 255 KiB  
Article
Assessment of Risk Factors for Cryptosporidium Infection in Hospitalized Patients from Romania
by Rodica Georgiana Dărăbuș, Marius Stelian Ilie, Diana Maria Darabuș, Voichița Lăzureanu, Ovidiu Roșca and Tudor Rareș Olariu
J. Clin. Med. 2025, 14(13), 4481; https://doi.org/10.3390/jcm14134481 - 24 Jun 2025
Viewed by 372
Abstract
Background/Objectives: This study aimed to identify and analyze the risk factors associated with Cryptosporidium infection in hospitalized patients in western Romania. Methods: A total of 312 patients, aged between 2 months and 90 years and residing in both urban and rural communities, [...] Read more.
Background/Objectives: This study aimed to identify and analyze the risk factors associated with Cryptosporidium infection in hospitalized patients in western Romania. Methods: A total of 312 patients, aged between 2 months and 90 years and residing in both urban and rural communities, were included. Stool samples were collected and analyzed using the CerTest Crypto qualitative chromatographic test and the modified Ziehl–Neelsen staining method (Henricksen & Pohlenz). Risk factors were assessed through a questionnaire completed by patients or by the parents of pediatric patients. Results: The overall prevalence of Cryptosporidium infection was 5.77%. Among the evaluated risk factors, only the area of residence showed a statistically significant association (p < 0.05), with a higher prevalence in urban areas (9.2%) compared to rural areas (3.6%). Other factors—including age, gender, contact with animals, pet ownership, handwashing after animal contact, type of housing, fruit washing habits, use of potable water, use of public transportation, international travel, and visits to playgrounds or swimming pools—were not significantly associated with infection. Conclusions: These findings suggest that urban residency may be a significant factor in Cryptosporidium transmission and may inform future research and the development of targeted public health strategies. Full article
(This article belongs to the Section Infectious Diseases)
11 pages, 1848 KiB  
Article
Molecular and Epidemiological Investigation of Cryptosporidium Infection in Goat Population from Bouira Province, Algeria
by Samia Bedjaoui, Djamel Baroudi, Karim Tarik Adjou, Bernard Davoust and Younes Laidoudi
Pathogens 2025, 14(6), 597; https://doi.org/10.3390/pathogens14060597 - 18 Jun 2025
Viewed by 563
Abstract
Cryptosporidiosis is a gastrointestinal disease affecting terrestrial and aquatic vertebrates worldwide. This study investigated molecularly and microscopically the prevalence and the diversity of Cryptosporidium spp. in goats across the Bouira communes, Algeria. A total of 559 fecal samples were collected from 70 farms, [...] Read more.
Cryptosporidiosis is a gastrointestinal disease affecting terrestrial and aquatic vertebrates worldwide. This study investigated molecularly and microscopically the prevalence and the diversity of Cryptosporidium spp. in goats across the Bouira communes, Algeria. A total of 559 fecal samples were collected from 70 farms, representing 16.6% of the regional goat population. Samples were analyzed using microscopy (modified Ziehl-Neelsen staining) and molecular methods (i.e., qPCR and nested PCR targeting the 18S rRNA gene, followed by sequencing). Microscopy detected Cryptosporidium in 6.1% of samples, while qPCR revealed a significantly higher prevalence of 13.6% (p < 0.00001), confirming the superior sensitivity of molecular diagnostics. Spatial analysis identified significant clustering (Moran’s I = 0.330, p = 0.0003), with communes-level prevalence ranging from 6.7% to 45.7%. Infection rates correlated positively with humidity and rainfall but negatively with temperature. Phylogenetic analysis confirmed Cryptosporidium xiaoi as the sole species circulating, showing 100% genetic similarity to global caprine isolates. Despite C. xiaoi’s host adaptation, a GenBank review highlighted six other zoonotic species infecting goats worldwide, underscoring potential cross-species transmission risks. The study emphasizes the need for PCR-based surveillance to assess true prevalence and zoonotic threats, while climatic findings support targeted interventions in high-risk areas. Full article
(This article belongs to the Special Issue Biology, Epidemiology and Interactions of Parasitic Diseases)
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11 pages, 1723 KiB  
Article
Occurrence and Genetic Diversity of Cryptosporidium spp. and Giardia intestinalis from Yaks (Bos grunniens) in Ganzi, Sichuan Province, China
by Yingying Fan, Guirong Hu, Danjiao Yang, Xinrui Hou, Mingyi Zhang, Yufeng Niu, Zijie Wang and Xin Yang
Microorganisms 2025, 13(6), 1261; https://doi.org/10.3390/microorganisms13061261 - 29 May 2025
Viewed by 435
Abstract
Cryptosporidium spp. and Giardia intestinalis are important zoonotic protozoa that are closely related to diarrhea and cause considerable economic losses in the livestock breeding industry. Ganzi is one of the main production areas for yaks in China, but there have been few reports [...] Read more.
Cryptosporidium spp. and Giardia intestinalis are important zoonotic protozoa that are closely related to diarrhea and cause considerable economic losses in the livestock breeding industry. Ganzi is one of the main production areas for yaks in China, but there have been few reports on the occurrence of Cryptosporidium spp. and G. intestinalis in yaks. This study used PCR-based sequencing techniques to survey the prevalence and species/genotypes of Cryptosporidium spp. and G. intestinalis in faecal samples from 223 yaks in Ganzi, Sichuan Province. The positive rate of Cryptosporidium spp. was 7.2% (16/223), with the highest positive rate of yaks found in Yajiang (37%, 10/27), which was significantly higher than that in Litang (3.1%, 4/130) and Seda (3%, 2/66). The positive rate of Cryptosporidium spp. in young animals aged <6 months (20.5%, 8/39) was significantly higher than that in older animals aged 12–23 months (0; 0/43) and >24 months (3.3%, 3/90). Three Cryptosporidium species were found by sequence analysis of 18S rRNA locus, namely C. andersoni, C. ryanae, and C. bovis. The total positive rate of G. intestinalis was 15.7% (35/223), with significant differences identified between Yajiang (40.7%, 11/27), Litang (17.7%, 23/130), and Seda (1.5%, 1/66). One genotype (assemblage E) was found by analyzing the sequence of gdh, bg, and tpi loci. Meanwhile, co-infection of Cryptosporidium spp. and Giardia intestinalis was identified in five samples. The present study explores the infection of Cryptosporidium spp. and G. intestinalis from yaks in Ganzi, aiming to enrich our understanding of the occurrence of these protozoa in livestock. Full article
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33 pages, 1014 KiB  
Systematic Review
The Global Prevalence of and Factors Associated with Parasitic Coinfection in People Living with Viruses: A Systematic Review and Meta-Analysis
by Yan Ge, Huaman Liu, Ningjun Ren, Abdul Qadeer, Ian Kim B. Tabios, Ian Kendrich C. Fontanilla, Lydia R. Leonardo, Banchob Sripa and Guofeng Cheng
Pathogens 2025, 14(6), 534; https://doi.org/10.3390/pathogens14060534 - 27 May 2025
Viewed by 1803
Abstract
Coinfection with parasites and viruses can exacerbate disease transmission, outcomes and therapy. This study searched the Web of Science, PubMed, Scopus and JSTOR databases for publications on the prevalence of parasitic coinfection in people living with viruses from 1 January 2005 to 30 [...] Read more.
Coinfection with parasites and viruses can exacerbate disease transmission, outcomes and therapy. This study searched the Web of Science, PubMed, Scopus and JSTOR databases for publications on the prevalence of parasitic coinfection in people living with viruses from 1 January 2005 to 30 April 2022, and 356 studies were included and systematically reviewed. A meta-analysis was performed to assess the global prevalence of and factors potentially associated with parasitic infection (helminths and protozoa) in virus-infected people, and the infection burden was estimated. A variety of parasites (29 families, 39 genera, and 63 species) and viruses (8 kinds) were identified. The prevalence of parasitic coinfection in (all) virus-infected people was estimated to be 21.34% (95% CI 17.58–25.10, 5593 of 29,190 participants) and 34.13% (95% CI 31.32–36.94, 21,243/76,072 participants) for helminths and protozoa, respectively. Specially, in human immunodeficiency virus (HIV)-infected people, the global prevalence was 19.96% (95% CI 16.18–23.74) for helminths and 34.18% (95% CI 31.33–37.03) for protozoa, respectively. The global prevalence of protozoa was 41.79% (95% CI 15.88–67.69) in hepatitis B virus (HBV)-infected people and 17.75% (95% CI 3.54–31.95) in DENV-infected people, respectively. The global burden of parasitic infections in HIV-infected people was 7,664,640 for helminths and 13,125,120 for protozoa, respectively, and that in HBV- and dengue virus (DENV)-infected people was 137,019,428 and 629,952, respectively. The prevalence of parasitic coinfection at the family, genus, and species levels in virus- or HIV-infected people were comprehensively estimated and further analyzed by subgroups. Among the most commonly identified parasites, the five helminth genera with the highest prevalence in HIV-infected people were Schistosoma (12.46%, 95% CI 5.82–19.10), Ascaris (7.82%, 95% CI 6.15–9.49), Strongyloides (5.43%, 95% CI 4.11–6.74), Trichuris (4·82%, 95% CI 2.48–7.17) and Ancylostoma (2.79%, 95% CI 1.32–4.27), whereas the top five protozoan genera were Toxoplasma (48.85%, 95% CI 42.01–55.69), Plasmodium (34.96%, 95% CI 28.11–41.82), Cryptosporidium (14.27%, 95% CI 11.49–17.06), Entamoeba (12.33%, 95% CI 10.09–14.57) and Blastocystis (10.61%, 95% CI 6.26–14.97). The prevalence of parasitic coinfection in virus-infected people was associated with income level. The findings provide valuable global epidemiological information for informing normative guidance, improving surveillance, and developing public healthcare strategies. Full article
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41 pages, 1249 KiB  
Review
Tickborne Colpodella Species Infections: Time for a New Integrated Approach to Understand Transmission and Pathogenicity
by Tobili Y. Sam-Yellowe, Trinity Nims, Sona Qaderi and Mary M. Asraf
Zoonotic Dis. 2025, 5(2), 14; https://doi.org/10.3390/zoonoticdis5020014 - 26 May 2025
Viewed by 542
Abstract
Colpodella species are free-living predatory protists that prey on algae, ciliates and bodonids using myzocytosis. Colpodella species have been reported in human and animal infections. Polymerase chain reaction (PCR) using primers targeting 18S rRNA genes of Cryptosporidium and piroplasms have identified Colpodella species [...] Read more.
Colpodella species are free-living predatory protists that prey on algae, ciliates and bodonids using myzocytosis. Colpodella species have been reported in human and animal infections. Polymerase chain reaction (PCR) using primers targeting 18S rRNA genes of Cryptosporidium and piroplasms have identified Colpodella species in arthropods, host blood and feces, demonstrating the phylogenetic closeness of Colpodella species to the apicomplexa. However, in human, animal and arthropod hosts, the life cycle stages of Colpodella are unknown. In this literature review, we provide an overview of the widespread occurrence of Colpodella species in ticks, and pathogenicity in humans and animals. We discuss methods for culture and microscopy that can aid diagnosis. Phylogenetic tree analysis of Colpodella species identified using 18S rRNA demonstrates that the Colpodella species identified in different geographic regions represent different species and strains that may impact virulence and zoonotic transmission. There is a pressing need to culture Colpodella species, and to stain cells for morphological identification. This will aid molecular investigations aimed at identifying molecular markers of Colpodella spp. facilitating transmission, survival and pathogenesis in hosts, and will determine which species and strains to prioritize for the risk of zoonotic infections to humans and for infections in animals. Full article
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15 pages, 1729 KiB  
Article
Red Fox (Vulpes vulpes) and Wolf (Canis lupus) as a Reservoir of Cryptosporidium spp. and Giardia intestinalis in Poland
by Dorota Dwużnik-Szarek, Ewa Julia Mierzejewska, Korneliusz Kurek, Małgorzata Krokowska-Paluszak, Patrycja Opalińska, Łukasz Stańczak, Grzegorz Górecki and Anna Bajer
Pathogens 2025, 14(5), 500; https://doi.org/10.3390/pathogens14050500 - 20 May 2025
Viewed by 672
Abstract
Infections with zoonotic pathogens have received increasing attention in recent years, as reflected in the literature of both veterinary and human medicine. Cryptosporidium and Giardia are recognised as the principal causes of waterborne outbreaks worldwide, but there is still limited data on the [...] Read more.
Infections with zoonotic pathogens have received increasing attention in recent years, as reflected in the literature of both veterinary and human medicine. Cryptosporidium and Giardia are recognised as the principal causes of waterborne outbreaks worldwide, but there is still limited data on the role of wild carnivores, such as red foxes and wolves, as reservoir hosts and in disseminating these pathogens in the environment. The aim of the current project was to analyse the prevalence and abundance of Cryptosporidium and Giardia infections in foxes from seven voivodeships and in wolves from the Warmia-Masuria Voivodeship in Poland and to conduct a phylogenetic analysis of the detected parasites. For the detection of both parasites, we used the commercial immunofluorescent assay MeriFluor Cryptosporidium/Giardia. For Cryptosporidium detection we also applied modified Ziehl–Neelsen (ZN) staining of faecal smears and, following PCR amplification, sequenced the 18S rDNA locus. For Giardia detection, we sequenced the glutamate dehydrogenase (gdh) gene. In total, 117 and 69 faecal samples obtained from red foxes and wolves, respectively, were screened for the presence of Cryptoporidium/Giardia. In red foxes, prevalence was 38.5% and 15.4% for Cryptosporidium spp. and G. intestinalis, respectively. In wolves, the prevalence of Cryptosporidium spp. was 14.5%, and only one sample was Giardia-positive. Cryptosporidium canis, Cryptosporidium sp. vole genotype, C. baileyi and Cryptosporidium sp. were identified in red foxes, while C. canis and Cryptosporidium sp. were detected in wolves. Our results indicate that red foxes and grey wolves act as reservoir hosts of Cryptosporidium spp. and G. intestinalis in natural areas in Poland. Full article
(This article belongs to the Section Parasitic Pathogens)
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14 pages, 984 KiB  
Article
Prevalence of Acute Gastroenteritis Enteropathogens Among Hospitalized Children in Jordan: A Single-Center Study
by Ashraf I. Khasawneh, Nisreen Himsawi, Ashraf Sammour, Faten A. Bataineh, Mohammad H. Odeh, Mayar S. Alhieh, Nawal S. Hijjawi, Mohammad Wahsheh, Hafez Al-Momani, Moureq R. Alotaibi, Sofian Al Shboul and Tareq Saleh
Viruses 2025, 17(5), 657; https://doi.org/10.3390/v17050657 - 30 Apr 2025
Viewed by 1078
Abstract
Background and objectives: Acute gastroenteritis (AGE) remains a significant cause of morbidity in children, particularly in low- and middle-income countries. Viral pathogens, including rotavirus (RoV), norovirus (NoV), and adenovirus (HAdV), are among the leading causes of AGE. This study aimed to determine the [...] Read more.
Background and objectives: Acute gastroenteritis (AGE) remains a significant cause of morbidity in children, particularly in low- and middle-income countries. Viral pathogens, including rotavirus (RoV), norovirus (NoV), and adenovirus (HAdV), are among the leading causes of AGE. This study aimed to determine the prevalence of viral, bacterial, and parasitic enteric pathogens associated with AGE among hospitalized children in Northern Jordan. Materials and Methods: A total of 195 stool samples were collected from hospitalized children with AGE during the winter seasons of 2022–2024. Multiplex real-time qPCR assays were performed to detect common pathogens. The prevalence of each pathogen was determined, and co-infections were analyzed. Clinical symptoms, demographic characteristics, and associations between specific pathogens and disease severity were evaluated. Results: Viral pathogens were the predominant cause of AGE, with NoV detected in 53 cases (27.2%; of which 19.0% were NoV GI and 8.2% NoV GII), followed by RoV (24.1%), HAdV (20.0%), HAstV (13.3%), and SaV (12.3%). Co-infections were observed in several cases, particularly among viral infections evoked by RoV, HAdV, and NoV GI. Bacterial and parasitic infections were less prevalent, with Salmonella and Campylobacter spp. detected in 23.1% and 13.8%, respectively. Additionally, Cryptosporidium was identified in two cases (0.5%). Conclusions: Viral pathogens, particularly NoV, RoV, and HAdV, are the leading causes of AGE among hospitalized children in Jordan. Co-infections among viral pathogens were common, whereas bacterial and parasitic infections played a limited role in the disease burden. These findings emphasize the importance of continued surveillance and vaccination efforts, particularly for RoV, to reduce AGE-related hospitalizations in children. Full article
(This article belongs to the Section Human Virology and Viral Diseases)
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32 pages, 2334 KiB  
Review
Undernutrition and Intestinal Infections in Children: A Narrative Review
by Maria Clara da Cruz Carvalho, Samilly Albuquerque Ribeiro, Lélia Sales de Sousa, Aldo Ângelo Moreira Lima and Bruna Leal Lima Maciel
Nutrients 2025, 17(9), 1479; https://doi.org/10.3390/nu17091479 - 28 Apr 2025
Cited by 1 | Viewed by 1571
Abstract
Undernutrition affects thousands of children under five years old worldwide, and various factors are related to its onset, among which we highlight enteric infections and gastrointestinal barrier dysfunction. The cycle of intestinal infections and undernutrition has long-term consequences, such as cognitive deficits, poor [...] Read more.
Undernutrition affects thousands of children under five years old worldwide, and various factors are related to its onset, among which we highlight enteric infections and gastrointestinal barrier dysfunction. The cycle of intestinal infections and undernutrition has long-term consequences, such as cognitive deficits, poor growth, and metabolic diseases in adulthood. This review explores factors linked to childhood undernutrition, focusing on intestinal infections and markers of intestinal permeability that affect child development. This narrative review was conducted using Medline/PubMed, Web of Science, and Scopus, from July 2024 to March 2025. Studies involving children under five years old and addressing undernutrition, intestinal infections, or intestinal permeability markers were included. Exclusion criteria comprised studies without therapeutic focus, and books, case reports, or academic theses. No language restrictions were applied, and registration on global platforms was not required. Overall, the studies reported a close relationship between enteric pathogens, diarrheal and non-diarrheal stools, and undernutrition. Among the pathogens most frequently found in the feces of malnourished children were Shigella, enterotoxigenic Escherichia coli, enteroaggregative E. coli (EAEC), and Cryptosporidium. The studies also showed the relationship between gastrointestinal barrier function and undernutrition, with the deterioration of nutrient absorption and, consequently, repercussions on development, linear growth, and weight in children. Although the studies analyzed had different designs and heterogeneity in the age range of the studied children, it was possible to observe the relationship between the infection/undernutrition cycle. Future studies should optimize personalized nutrient-based therapies, assess long-term effects on gut health and growth, and explore the gut microbiome’s role in enteric infection susceptibility and undernutrition. Full article
(This article belongs to the Special Issue Malnutrition and Gastrointestinal Disease)
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15 pages, 949 KiB  
Article
First Detection of Cryptosporidium Canis and Occurrence of Cryptosporidium spp. in Hospitalized Patients in Romania
by Rodica Georgiana Dărăbuș, Mirela Imre, Gheorghe Dărăbuș, Marius Stelian Ilie, Alexander Tudor Olariu, Diana Maria Dărăbuș, Voichița Lăzureanu, Ovidiu Roșca and Tudor Rareș Olariu
Microorganisms 2025, 13(4), 931; https://doi.org/10.3390/microorganisms13040931 - 17 Apr 2025
Viewed by 517
Abstract
The study aimed to identify Cryptosporidium infection in hospitalized patients in Western Romania. Stool samples were collected from 175 patients, both male and female, aged between 2 months and 88 years, residing in urban and rural areas. The identification of Cryptosporidium was performed [...] Read more.
The study aimed to identify Cryptosporidium infection in hospitalized patients in Western Romania. Stool samples were collected from 175 patients, both male and female, aged between 2 months and 88 years, residing in urban and rural areas. The identification of Cryptosporidium was performed using a qualitative chromatographic rapid test, supplemented by the modified Ziehl–Neelsen method described by Henricksen and Pohlenz. Cryptosporidium spp. were identified through PCR analysis and Sanger sequencing. To assess potential risk factors for cryptosporidiosis, a questionnaire was administered to the study participants. Laboratory test results revealed a cryptosporidiosis occurrence of 7.42%, with a significantly higher occurrence observed in urban areas (p < 0.05). Two species were identified, C. parvum and C. canis, the latter being reported for the first time in humans in Romania. Among the assessed risk factors, only the area of residence significantly influenced the occurrence of Cryptosporidium infection. The other evaluated risk factors—age, sex, concomitant microbial infections, contact with animals, use of public transport, international travel, frequenting children’s playgrounds, and swimming pools—although potentially involved in Cryptosporidium infection, did not have a significant contribution. This study represents the first report of C. canis identified in humans in Romania. Our results indicate a high occurrence of human cryptosporidiosis in hospitalized patients, with a significantly higher rate observed in individuals residing in urban areas. Full article
(This article belongs to the Special Issue Epidemiology of Zoonotic Pathogens)
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12 pages, 1158 KiB  
Article
Occurrence and Molecular Characterization of Cryptosporidium spp. in Beef Cattle in Yunnan Province, China
by Dongxu Li, Liujia Li, Jianfa Yang, Junjun He, Fengcai Zou and Fanfan Shu
Microorganisms 2025, 13(4), 834; https://doi.org/10.3390/microorganisms13040834 - 7 Apr 2025
Viewed by 511
Abstract
Cryptosporidium spp. are protozoan pathogens that are widespread within mammals. In recent years, extensive molecular epidemiology studies on Cryptosporidium in dairy cattle have been conducted in Yunnan and worldwide. However, the infection status of these pathogens in beef cattle in Yunnan remains unclear. [...] Read more.
Cryptosporidium spp. are protozoan pathogens that are widespread within mammals. In recent years, extensive molecular epidemiology studies on Cryptosporidium in dairy cattle have been conducted in Yunnan and worldwide. However, the infection status of these pathogens in beef cattle in Yunnan remains unclear. To examined the occurrence of Cryptosporidium spp. in beef cattle in Yunnan Province, China, we collected 735 fecal samples from six breeds of beef cattle in five regions of Yunnan. Nested PCR and DNA sequencing revealed the infection, species, and genotypes of Cryptosporidium spp. in these animals. The occurrence of Cryptosporidium spp. in Simmental cattle, Brahman cattle, Aberdeen Angus cattle, Yunnan Yellow cattle, Dulong cattle, and Hereford cattle was 32.9% (137/416), 3.8% (4/106), 24.4% (20/82), 3.8% (3/79), 3.2% (1/31), and 0% (0/21), respectively, with an overall rate of 22.4% (165/735). Regarding the regions, the occurrence of Cryptosporidium spp. in Boshan City, Kunming City, Lincang City, Dehong City and Xishuangbanna City was 41.8%, 28.6%, 19.4%, 6.7%, and 3.8%, respectively. In terms of age, the infection rates of Cryptosporidium spp. in pre-weaned, post-weaned, juvenile, and adult cattle were 62.1%, 52.6%, 42.7%, and 7.7%, respectively. According to sex, male cattle were more susceptible to Cryptosporidium infection (28.0%) than females (15.7%). Four Cryptosporidium species were identified in beef cattle: C. andersoni (n = 146), C. bovis (n = 11), C. ryanae (n = 7), and C. occultus (n = 1). Multilocus sequence typing analysis at the MS1, MS2, MS3, and MS16 gene loci revealed four subtype families of C. andersoni (A4A4A4A1, A5A4A4A1, A4A4A2A1, A1A4A4A1). Additionally, sequencing analysis of the 60-kDa glycoprotein gene identified three subtype families of C. bovis (XXVIc, XXVId, XXVIe) and one subtype family of C. ryanae (XXIb). These findings document the occurrence of Cryptosporidium spp. in beef cattle in Yunnan Province for the first time, providing reference data on the distribution, infection rate, species diversity, and genetic structure of these pathogens in China. To effectively reduce the prevalence of Cryptosporidium spp. in beef cattle in Yunnan, the implementation of proper sanitation management, rigorous rodent control, and farmer education programs is crucial. These integrated measures are critical for maintaining herd health, reducing economic losses, and ensuring meat safety across the province. Full article
(This article belongs to the Section Public Health Microbiology)
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11 pages, 633 KiB  
Article
Multilocus Variable-Number Tandem-Repeat Analysis as an Investigation Tool in Cryptosporidium parvum Outbreaks in Finland and Sweden in 2022
by Kristiina Suominen, Anni Vainio, Pirkko Hokkanen, Riikka Åberg, Sanna Isosomppi, Eeva Särelä, Wioleta Kitowska, Ana Cristina Gonzalez-Perez, Jukka Ollgren, Ioana Bujila, Karin Troell, Anette Hansen, Mats Lindblad and Ruska Rimhanen-Finne
Microorganisms 2025, 13(4), 821; https://doi.org/10.3390/microorganisms13040821 - 4 Apr 2025
Cited by 1 | Viewed by 497
Abstract
Cryptosporidium is a significant cause of foodborne outbreaks. The 60 kDa glycoprotein gene (gp60) is most often used for subtyping Cryptosporidium species but is not always sufficient for defining clusters and infections sources. The Multilocus Variable-Number Tandem-Repeat Analysis (MLVA) scheme has [...] Read more.
Cryptosporidium is a significant cause of foodborne outbreaks. The 60 kDa glycoprotein gene (gp60) is most often used for subtyping Cryptosporidium species but is not always sufficient for defining clusters and infections sources. The Multilocus Variable-Number Tandem-Repeat Analysis (MLVA) scheme has been developed to better differentiate between subtypes. A cryptosporidiosis outbreak, with 35 cases, was detected in Finland in September 2022. At the same time, in Sweden, three cryptosporidiosis outbreaks, with 107 cases, were detected, leading to international collaboration. In both countries, salad mixes were suspected as being the outbreak source. In the Finnish outbreak, the suspected salad mixes were produced in Sweden. In the Swedish outbreaks, salad mixes from two different producers were suspected. Twenty-nine patient samples which were positive for Cryptosporidium parvum (11 from Finland and 18 from Sweden) were sent for MLVA. The Finnish outbreak samples had different gp60 subtypes and MLVA profiles compared to the Swedish samples. In our investigation, MLVA differentiated C. parvum subtypes in more detail than gp60 typing. MLVA suggested no connection between the Finnish and Swedish outbreaks. A traceback investigation supported this conclusion. To detect outbreaks and identify infection sources, the timely subtyping of patient samples is crucial and should be implemented in routine surveillance and outbreak investigations. Full article
(This article belongs to the Collection Feature Papers in Medical Microbiology)
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