Submitted: 06 Jan 2014
Revision: 15 Feb 2014
Accepted: 13 Mar 2014
ePublished: 28 Apr 2014
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Avicenna J Clin Microbiol Infect. 2014;1(1): 19570.
doi: 10.17795/ajcmi-19570
  Abstract View: 607
  PDF Download: 382

Research Article

The Prevalence of Cryptosporidium Infection Among Renal Transplanted Patients in Hamadan City, West of Iran

Rasool Jafari 1, Zahra Gharibi 2, Mohammad Fallah 2*

1 Department of Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IR Iran
2 Department of Parasitology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, IR Iran
Corresponding author: Mohammad Fallah, Deptartment of Parasitology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, IR Iran. Tel: +98-9181113650, Fax: +98-8112520203 mohfall@yahoo.com, fallah@umsha.ac.ir


Background: Opportunistic infections have become much more considerable in the last decades, especially in immunocompromised patients and due to the medical interventions. Cryptosporidium is a pathogenic protozoan parasite causing diarrhea in children and some times acts as a life threatening opportunistic pathogen in the immunocompromised adults.

Objectives: This study aimed to investigate the presence of Cryptosporidium infection among patients undergone renal transplantation, who are at risk for this infection.

Patients and Methods: This was a cross-sectional study and the sample collection consisted of 180 renal transplanted patients referred to Shaheed-Beheshti Hospital, Hamadan city, Iran. The stool specimens were concentrated using formalin-ether technique and then the fecal smears were prepared from the sediments. Afterwards, the slides were stained using the Ziehl-Neelsen staining method and then examined for the presence of Cryptosporidium oocysts.

Results: One out of 180 fecal samples was positive for Cryptosporidium infection. The infected patient was a 51-year-old woman who had a renal transplantation six years earlier, with continuous use of CellCept® (mycophenolate mofetil) and prednisolone. The patient had been referred to the hospital with gastrointestinal symptoms.

Conclusions: Based on the results of this study the prevalence of cryptosporidiosis was very low in renal transplanted patients in Hamadan city, Iran. It could be concluded that cryptosporidiosis is not a life threatening risk in this region and it probably showed well post-transplantation hygienic status of the patients and/or low oocysts load in the area.

Keywords: Cryptosporidium, Immunocompromised Host, Transplants, Iran
Implication for health policy/practice/research/medical education: Implication of this article is for health policy and health practice as well. Copyright © 2014, Hamadan University of Medical Sciences; Published by Safnek. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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