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Transmission electron microscopy on a case of Cyclospora cayetanensis infection from an immune-competent case confirms and extends prior detailed descriptions of its notably small endogenous stage

Published online by Cambridge University Press:  08 June 2022

Jitender P. Dubey*
Affiliation:
Animal Parasitic Disease Laboratory, United States Department of Agriculture, Agricultural Research Service, Beltsville Agricultural Research Center, Building 1001, BARC-East, Beltsville, MD 20705-2350, USA
Jon E. Charlesworth
Affiliation:
Microscopy and Cell Analysis Core, Mayo Clinic, Rochester, MN 55905, USA
Bobbi S. Pritt
Affiliation:
Division of Clinical Microbiology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN 55905, USA
*
Author for correspondence: Jitender P. Dubey, E-mail: jitender.dubey@usda.gov

Abstract

Although infections with Cyclospora cayetanensis are prevalent worldwide, many aspects of this parasite's life cycle remain unknown. Humans are the only known hosts, existing information on its endogenous development has been derived from histological examination of only a few biopsy specimens. In histological sections, its stages are less than 10 μm, making definitive identification difficult. Here, confirmation of cyclosporiasis in a duodenal biopsy specimen from an 80-year-old man without any recognized immunodeficiency patient is reported. Asexual forms (schizonts) and sexual forms (gamonts) were located within enterocytes, including immature and mature schizonts, an immature male gamont and a female gamont. Merozoites were small (<5 μm × 1 μm) and contained two rhoptries, subterminal nucleus and numerous micronemes and amylopectin granules. These parasite stages were like those recently reported in the gallbladder of an immunocompromised patient, suggesting that the general life-cycle stages are not altered by immunosuppression.

Type
Research Article
Creative Commons
To the extent this is a work of the US Government, it is not subject to copyright protection within the United States. Published by Cambridge University Press.
Copyright
Copyright © United States Department of Agriculture and the Author(s), 2022

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References

Almeria, S, Cinar, HN and Dubey, JP (2019) Cyclospora cayetanensis and cyclosporiasis: an update. Microorganisms 7, 317.CrossRefGoogle ScholarPubMed
Almeria, S, Cinar, HN and Dubey, JP (2020) In Dubey, JP (ed). Coccidiosis in Livestock, Poultry, Companion Animals, and Humans. Boca Raton, Florida, USA: CRC Press, pp. 268312.Google Scholar
Bendall, RP, Lucas, S, Moody, A, Tovey, G and Chiodini, PL (1993) Diarrhoea associated with cyanobacterium-like bodies: a new coccidian enteritis of man. Lancet 341, 590592.CrossRefGoogle ScholarPubMed
Connor, BA, Reidy, J and Soave, R (1999) Cyclosporiasis: clinical and histopathologic correlates. Clinical Infectious Diseases 28, 12161222.CrossRefGoogle ScholarPubMed
Deluol, AM, Teilhac, MF, Poirot, JL, Heyer, F, Beaugerie, L and Chatelet, FP (1996) Cyclospora sp: life cycle studies in patient by electron microscopy. Journal of Eukaryotic Microbiology 43, 128S129S.CrossRefGoogle ScholarPubMed
Dubey, JP (2022) Toxoplasmosis of Animals and Humans, 3rd Edn. Boca Raton, Florida, USA: CRC Press.Google Scholar
Dubey, JP, Almería, S, Mowery, JD and Fortes, J (2020a) Endogenous developmental cycle of the human coccidian Cyclospora cayetanensis. Journal of Parasitology 106, 295307.CrossRefGoogle ScholarPubMed
Dubey, JP, Lindsay, DS, Jenkins, MC and Bauer, C (2020b) Biology of intestinal coccidia. In Dubey, JP (ed). Coccidiosis in Livestock, Poultry, Companion Animals, and Humans. Boca Raton, Florida, USA: CRC Press, pp. 136.Google Scholar
Giangaspero, A and Gasser, RB (2019) Human cyclosporiasis. The Lancet. Infectious Diseases 19, e226e236.CrossRefGoogle ScholarPubMed
Hadjilouka, A and Tsaltas, D (2020) Cyclospora cayetanensis – Major outbreaks from ready to eat fresh fruits and vegetables. Foods (Basel, Switzerland) 9, 1703.Google ScholarPubMed
Li, J, Cui, Z, Qi, M and Zhang, L (2020) Advances in cyclosporiasis diagnosis and therapeutic intervention. Frontiers in Cellular and Infection Microbiology 10, 43.CrossRefGoogle ScholarPubMed
Mathison, BA and Pritt, BS (2021) Cyclosporiasis – updates on clinical presentation, pathology, clinical diagnosis, and treatment. Microorganisms 9, 1863.CrossRefGoogle ScholarPubMed
McDowell, EM and Trump, BF (1976) Histologic fixatives suitable for diagnostic light and electron microscopy. Archives of Pathology and Laboratory Medicine 100, 405414.Google ScholarPubMed
Nhieu, JTV, Nin, F, Fleury-Feith, J, Chaumette, MT, Schaeffer, A and Bretagne, S (1996) Identification of intracellular stages of Cyclospora species by light microscopy of thick sections using hematoxylin. Human Pathology 27, 11071109.Google ScholarPubMed
Ortega, YR, Gilman, RH and Sterling, CR (1994) A new coccidian parasite (Apicomplexa: Eimeriidae) from humans. Journal of Parasitology 80, 625629.CrossRefGoogle ScholarPubMed
Ortega, YR, Nagle, R, Gilman, RH, Watanabe, J, Miyagui, J, Quispe, H, Kanagusuku, P, Roxas, C and Sterling, CR (1997) Pathologic and clinical findings in patients with cyclosporiasis and a description of intracellular parasite life-cycle stages. Journal of Infectious Diseases 176, 15841589.CrossRefGoogle Scholar
Rozenova, K, Pritt, BS and Said, S (2021) Uncommom cause of emesis and diarrhea in a nonverbal elderly patient. Gastroenterology 160, e5e7.CrossRefGoogle Scholar
Sifuentes-Osornio, J, Porras-Cortés, G, Bendall, RP, Morales-Villarreal, F, Reyes-Terán, G and Ruiz-Palacios, GM (1995) Cyclospora cayetanensis infection in patients with and without AIDS: biliary disease as another clinical manifestation. Clinical Infectious Diseases 21, 10921097.CrossRefGoogle ScholarPubMed
Spurr, AR (1969) A low-viscosity epoxy resin embedding medium for electron microscopy. Journal of Ultrastructure Research 26, 3143.CrossRefGoogle ScholarPubMed
Sun, T, Ilardi, CF, Asnis, D, Bresciani, AR, Goldenberg, S, Roberts, B and Teichberg, S (1996) Light and electron microscopic identification of Cyclospora species in the small intestine. Evidence of the presence of asexual life cycle in human host. American Journal of Clinical Pathology 105, 216220.CrossRefGoogle ScholarPubMed
Tsang, OTY, Wong, RWC, Lam, BHS, Chan, JMC, Tsang, KY and Leung, WS (2013) Cyclospora infection in a young woman with human immunodeficiency virus in Hong Kong: a case report. BMC Research Notes 6, 521.CrossRefGoogle Scholar
Velásquez, JN, Carnevale, S, Cabrera, M, Kuo, L, Chertcoff, A, Mariano, M, Bozzini, JP, Etchart, C, Argento, R and Di Risio, C (2004) Cyclospora cayetanensis en pacientes con SIDA y diarrea crónica. Acta Gastroenterologica Latinoamericana 34, 133137.Google Scholar