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Long-term symptoms in children after a Cryptosporidium hominis outbreak in Sweden: a 10-year follow-up
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.ORCID iD: 0000-0002-1216-2440
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.ORCID iD: 0000-0002-5203-9877
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.ORCID iD: 0000-0002-6230-0354
Umeå University, Faculty of Medicine, Department of Clinical Microbiology.ORCID iD: 0000-0002-1483-4255
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2025 (English)In: Parasitology Research, ISSN 0932-0113, E-ISSN 1432-1955, Vol. 124, no 1, article id 13Article in journal (Refereed) Published
Abstract [en]

In 2010, a Cryptosporidium hominis outbreak resulted in 27,000 clinical cryptosporidiosis cases (45% of the population) in Östersund, Sweden. Long-term abdominal and joint symptoms are common following cryptosporidiosis in adults, and it can affect the development of children in low-income countries. We investigated the potential consequences for children in a high-income setting. In 2011, we prospectively surveyed 600 randomly selected children aged 0-5 years from Östersund. Cases were defined as respondents reporting new episodes of diarrhoea during the outbreak. After 10 years, respondents received a follow-up questionnaire about long-term symptoms (n = 423). We used X2 and Mann-Whitney U tests to assess between-group differences in demographics and the mean number of symptoms. Logistic regressions adjusted for sex, age, and prior issues with loose stools were used to examine associations between case status and symptoms reported at follow-up. We retrieved data on healthcare visits from patient records. In total, 121 cases and 174 non-cases responded to the follow-up questionnaire (69.7%). Cases reported 1.74 (median 1.00, range 0-14) symptoms and non-cases 1.37 (median 0.00, range 0-11) symptoms (p = 0.029). Cases were more likely to report joint symptoms (aOR 4.0, CI 1.3-12.0) and fatigue (aOR 1.9, CI 1.1-3.4), but numbers were generally low. We found no between-group differences in abdominal symptoms, healthcare utilization, or disease diagnoses. Children aged 0-5 years from high-income countries may experience long-term symptoms after cryptosporidiosis, but may not be affected to the same extent as adults or their peers living in low-income countries.

Place, publisher, year, edition, pages
Springer Nature, 2025. Vol. 124, no 1, article id 13
Keywords [en]
Cryptosporidium, Disease outbreaks, Paediatric infections, Post-infectious symptoms, Sequelae
National Category
Epidemiology Public Health, Global Health and Social Medicine Infectious Medicine
Identifiers
URN: urn:nbn:se:umu:diva-235372DOI: 10.1007/s00436-025-08455-7ISI: 001405610700001PubMedID: 39862254Scopus ID: 2-s2.0-85216996624OAI: oai:DiVA.org:umu-235372DiVA, id: diva2:1939675
Funder
Region Jämtland Härjedalen, JLL-939404Region Jämtland Härjedalen, JLL-965542Region Jämtland Härjedalen, JLL-967794Region Jämtland Härjedalen, JLL-978075Region Jämtland Härjedalen, JLL-980156Region Jämtland Härjedalen, JLL-990885Region Jämtland Härjedalen, JLL-993985Visare Norr, VISARENORR967799Visare Norr, VISARENORR993655Available from: 2025-02-24 Created: 2025-02-24 Last updated: 2025-02-24Bibliographically approved

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Boks, MarijeLilja, MikaelLindam, AnnaWiderström, MicaelKarling, PontusSjöström, Malin

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Boks, MarijeLilja, MikaelLindam, AnnaWiderström, MicaelKarling, PontusSjöström, Malin
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Parasitology Research
EpidemiologyPublic Health, Global Health and Social MedicineInfectious Medicine

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