CRYPTOSPORIDIUM HOMINIS: EXPERIMENTAL CHALLENGE OF HEALTHY ADULTS

CYNTHIA L. CHAPPELL The University of Texas Health Science Center at Houston School of Public Health and Medical School, Houston,Texas: Tufts University Cummings School of Veterinary Medicine, North Grafton, Massachusetts

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PABLO C. OKHUYSEN The University of Texas Health Science Center at Houston School of Public Health and Medical School, Houston,Texas: Tufts University Cummings School of Veterinary Medicine, North Grafton, Massachusetts

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REBECCA LANGER-CURRY The University of Texas Health Science Center at Houston School of Public Health and Medical School, Houston,Texas: Tufts University Cummings School of Veterinary Medicine, North Grafton, Massachusetts

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GIOVANNI WIDMER The University of Texas Health Science Center at Houston School of Public Health and Medical School, Houston,Texas: Tufts University Cummings School of Veterinary Medicine, North Grafton, Massachusetts

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DONNA E. AKIYOSHI The University of Texas Health Science Center at Houston School of Public Health and Medical School, Houston,Texas: Tufts University Cummings School of Veterinary Medicine, North Grafton, Massachusetts

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SULTAN TANRIVERDI The University of Texas Health Science Center at Houston School of Public Health and Medical School, Houston,Texas: Tufts University Cummings School of Veterinary Medicine, North Grafton, Massachusetts

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SAUL TZIPORI The University of Texas Health Science Center at Houston School of Public Health and Medical School, Houston,Texas: Tufts University Cummings School of Veterinary Medicine, North Grafton, Massachusetts

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Cryptosporidium hominis causes diarrhea in humans and has been associated with community outbreaks. This study describes the infectivity, illness, and serologic response after experimental challenge of 21 healthy adult volunteers with 10–500 C. hominis (TU502) oocysts. Sixteen subjects (76.2%) had evidence of infection; the 50% infectious dose (ID50) was estimated to be 10–83 oocysts using clinical and microbiologic definitions of infection, respectively. Diarrhea occurred in 40% of subjects receiving 10 oocysts with a stepwise increase to 75% in those receiving 500 oocysts. A serum IgG response was seen in those receiving more than 30 oocysts. Greatest responses were seen in volunteers with diarrhea and oocyst shedding. Volunteers with no evidence of infection had indeterminant or negative IgG responses. Cryptosporidium hominis10 oocysts) and is clinically is infectious for healthy adults (ID50 = similar to C. parvum-induced illness. In contrast to C. parvum, C. hominis elicted a serum IgG response in most infected persons.

Author Notes

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