Initial data on the molecular epidemiology of cryptosporidiosis in Lebanon

PLoS One. 2015 May 7;10(5):e0125129. doi: 10.1371/journal.pone.0125129. eCollection 2015.

Abstract

Cryptosporidium spp. represent a major public health problem worldwide and infect the gastrointestinal tract of both immunocompetent and immunocompromised persons. The prevalence of these parasites varies by geographic region, and no data are currently available in Lebanon. To promote an understanding of the epidemiology of cryptosporidiosisin this country, the main aim of this study was to determine the prevalence Cryptosporidium in symptomatic hospitalized patients, and to analyze the genetic diversity of the corresponding isolates. Fecal specimens were collected in four hospitals in North Lebanon from 163 patients (77 males and 86 females, ranging in age from 1 to 88 years, with a mean age of 22 years) presenting gastrointestinal disorders during the period July to December 2013. The overall prevalence of Cryptosporidium spp. infection obtained by modified Ziehl-Neelsen staining and/or nested PCR was 11%, and children <5 years old showed a higher rate of Cryptosporidium spp. The PCR products of the 15 positive samples were successfully sequenced. Among them, 10 isolates (66.7%) were identified as C. hominis, while the remaining 5 (33.3%) were identified as C. parvum. After analysis of the gp60 locus, C. hominis IdA19, a rare subtype, was found to be predominant. Two C. parvum subtypes were found: IIaA15G1R1 and IIaA15G2R1. The molecular characterization of Cryptosporidium isolates is an important step in improving our understanding of the epidemiology and transmission of the infection.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Cryptosporidiosis / epidemiology*
  • Cryptosporidiosis / parasitology*
  • Cryptosporidium / genetics*
  • Cryptosporidium / isolation & purification*
  • DNA, Protozoan / analysis*
  • Feces / parasitology
  • Female
  • Humans
  • Infant
  • Inpatients
  • Lebanon / epidemiology
  • Male
  • Middle Aged
  • Molecular Sequence Data
  • Young Adult

Substances

  • DNA, Protozoan

Associated data

  • GENBANK/KM215739
  • GENBANK/KM215740
  • GENBANK/KM215741
  • GENBANK/KM215742
  • GENBANK/KM215743
  • GENBANK/KM215744
  • GENBANK/KM215745
  • GENBANK/KM215746
  • GENBANK/KM215747
  • GENBANK/KM215748
  • GENBANK/KM215749
  • GENBANK/KM215750
  • GENBANK/KM215751
  • GENBANK/KM215752
  • GENBANK/KM215753
  • GENBANK/KM215754
  • GENBANK/KM215755
  • GENBANK/KM215756
  • GENBANK/KM215757
  • GENBANK/KM215758
  • GENBANK/KM215759
  • GENBANK/KM215760
  • GENBANK/KM215761
  • GENBANK/KM215762
  • GENBANK/KM215763
  • GENBANK/KM215764
  • GENBANK/KM215765
  • GENBANK/KM215766

Grants and funding

This work was supported by grants from the Programme “Orientations Stratégiques” from the University of Lille 2, the Centre National de la Recherche Scientifique and the Institut Pasteur of Lille. MO and DES were both supported by PhD fellowships from the Conseil National de la Recherche Scientifique and the Azm & Saade Association from Lebanon. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.