Criptosporidiosis in children from some highland costa rican rural and urban areas
artículo original
Date
1984Author
Mata Jiménez, Leonardo
Bolaños Acuña, Hilda
Pizarro Torres, Daniel
Vives Blanco, Marcela
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This report summarizes both a prospective study of diarrhea in cohorts of
rural children in their natural ecosystem, and a vertical study of diarrheic urban children
attending a hospital emergency service. Cryptosporidium oocysts were found in feces of
4.3% of the cases, while all controls were negative. No infection occurred in the first year
of life among rural infants, contrasting with a 3% infection rate in children under 1 year
of age in the metropolitan area. This could be attributed to intense and exclusive breastfeeding
for several months in the rural area while in the urban area many infants are not
breast-fed at all, or are weaned prematurely. No infection was found in wholly breast-fed
infants. Diarrhea associated with Cryptosporidium was watery and without inflammatory
cells. Dehydration was common in urban children, but was rapidly corrected by oral
rehydration therapy, or by intravenous fluid therapy in some cases. Infections clustered in
the warmer, rainy and humid months of the year.
artículo -- Universidad de Costa Rica. Instituto de investigaciones en salud, 1984
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