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Microsporidiosis

 
Sci-Tech Dictionary: microsporidiosis
(′mī·krō·spə′rid·ē′ō·səs)

(veterinary medicine) Infection with microsporidians.


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Veterinary Dictionary: microsporidiosis
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Infection by species of the genus Microsporidia; common infections in flounder and other marine fish and in ornamental fish; include Thelohania and Pleistophora spp.

Wikipedia: Microsporidiosis
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Microsporidiosis
Classification and external resources
ICD-10 B60.8
ICD-9 136.8
DiseasesDB 31870
eMedicine med/1469
MeSH [1]

Microspridiosis is an opportunistic intestinal infection that causes diarrhea and wasting in immunocompromised individuals (HIV, for example). It results from different species of microsporidia, a group of protozoal parasites.[1]

In HIV infected individuals, microsporidiosis generally occurs when CD4+ T cell counts fall below 100.

Contents

Classification

Although it is classified as a protozoal disease in ICD-10, there has been recent evidence that the causative agent is more fungal than protozoal,[2][3] and some sources classify microsporidiosis as a mycosis.[4]

Causative agents

At least 14 microsporidian species have been recognized as human pathogens, spread across eight genera:

  • Brachiola
    • B. algerae, B. connori, B. vesicularum
  • Encephalitozoon
    • E. cuniculi, E. hellem, E. intestinalis
  • Enterocytozoon
    • E. bieneusi
  • Microsporidium
    • M. ceylonensis, M. africanum
  • Nosema
    • N. ocularum
  • Pleistophora sp.
  • Trachipleistophora
    • T. hominis, T. anthropophthera
  • Vittaforma
    • V. corneae.

The primary causes are Enterocytozoon bieneusi and Encephalitozoon intestinalis.[5]

Life cycle

Life cycle of the various organisms that cause microsporidiosis.

(Coded to image at right).

  1. The infective form of microsporidia is the resistant spore and it can survive for an exteneded period of time in the environment.
  2. The spore extrudes its polar tubule and infects the host cell.
  3. The spore injects the infective sporoplasm into the eukaryotic host cell through the polar tubule.
  4. Inside the cell, the sporoplasm undergoes extensive multiplication either by merogony (binary fission) or schizogony (multiple fission).
  5. This development can occur either in direct contact with the host cell cytoplasm (E. bieneusi) or inside a vacuole called a parasitophorous vacuole (E. intestinalis). Either free in the cytoplasm or inside a parasitophorous vacuole, microsporidia develop by sporogony to mature spores.
  6. During sporogony, a thick wall is formed around the spore, which provides resistance to adverse environmental conditions. When the spores increase in number and completely fill the host cell cytoplasm, the cell membrane is disrupted and releases the spores to the surroundings.
  7. These free mature spores can infect new cells thus continuing the cycle.

Treatment

Fumagillin has been used in the treatment.[5][6]

Another agent used is albendazole.[7]

References

  1. ^ "Microsporidiosis: Parasitic Infections: Merck Manual Home Edition". http://www.merck.com/mmhe/sec17/ch196/ch196l.html. 
  2. ^ Didier ES (April 2005). "Microsporidiosis: an emerging and opportunistic infection in humans and animals". Acta Trop. 94 (1): 61–76. doi:10.1016/j.actatropica.2005.01.010. PMID 15777637. http://linkinghub.elsevier.com/retrieve/pii/S0001-706X(05)00029-X. 
  3. ^ Keeling PJ, Luker MA, Palmer JD (January 2000). "Evidence from beta-tubulin phylogeny that microsporidia evolved from within the fungi". Mol. Biol. Evol. 17 (1): 23–31. PMID 10666703. http://mbe.oxfordjournals.org/cgi/pmidlookup?view=long&pmid=10666703. 
  4. ^ MeSH Microsporidiosis
  5. ^ a b Lanternier F, Boutboul D, Menotti J, et al. (February 2009). "Microsporidiosis in solid organ transplant recipients: two Enterocytozoon bieneusi cases and review". Transpl Infect Dis 11 (1): 83–8. doi:10.1111/j.1399-3062.2008.00347.x. PMID 18803616. 
  6. ^ Molina JM, Tourneur M, Sarfati C, et al. (June 2002). "Fumagillin treatment of intestinal microsporidiosis". N. Engl. J. Med. 346 (25): 1963–9. doi:10.1056/NEJMoa012924. PMID 12075057. http://content.nejm.org/cgi/pmidlookup?view=short&pmid=12075057&promo=ONFLNS19. 
  7. ^ Didier ES, Maddry JA, Brindley PJ, Stovall ME, Didier PJ (June 2005). "Therapeutic strategies for human microsporidia infections". Expert Rev Anti Infect Ther 3 (3): 419–34. doi:10.1586/14787210.3.3.419. PMID 15954858. http://www.future-drugs.com/doi/abs/10.1586/14787210.3.3.419?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dncbi.nlm.nih.gov. 

External links


 
 
Learn More
Enterocytozoon bieneusi
Encephalitozoon intestinalis
Exothrix

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Sci-Tech Dictionary. McGraw-Hill Dictionary of Scientific and Technical Terms. Copyright © 2003, 1994, 1989, 1984, 1978, 1976, 1974 by McGraw-Hill Companies, Inc. All rights reserved.  Read more
Veterinary Dictionary. Saunders Comprehensive Veterinary Dictionary 3rd Edition. Copyright © 2007 by D.C. Blood, V.P. Studdert and C.C. Gay, Elsevier. All rights reserved.  Read more
Wikipedia. This article is licensed under the Creative Commons Attribution/Share-Alike License. It uses material from the Wikipedia article "Microsporidiosis" Read more