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Cryptosporidiosis

Cryptosporidiosis (or “Crypto” for short) is a disease that causes watery diarrhea. Crypto is caused by a microscopic parasite called Cryptosporidium. Anyone can get sick with Crypto, but people with weakened immune systems are more likely to have severe and potentially life-threatening symptoms. This includes people who have health problems or take medicines that lower their body’s ability to fight germs and sickness—such as people whose immune systems are weakened because of cancer, an organ transplant or have cancer, or HIV.

Cryptosporidium is a microscopic parasite that causes the diarrheal disease cryptosporidiosis. Both the parasite and the disease are commonly known as “Crypto.”

There are many species of Cryptosporidium that infect animals, some of which also infect humans. The parasite is protected by an outer shell that allows it to survive outside the body for long periods of time and makes it very tolerant to chlorine disinfection.

While this parasite can be spread in several different ways, water (drinking water and recreational water) is the most common way to spread the parasite. Cryptosporidium is a leading cause of waterborne disease among humans in the United States.

Cryptosporidiosis is a reportable disease in Oklahoma.

Practice Good Hygiene Everywhere

  • Help keep yourself and your loved ones healthy by washing your hands often with soap and water, especially during key times when you are likely to spread germs.
  • Alcohol-based hand sanitizers are not effective against Crypto. Washing hands at key times with soap and water can help prevent infections.

Most people who have healthy immune systems will recover without treatment. Diarrhea can be managed by drinking plenty of fluids to prevent dehydration. People who are in poor health or who have weakened immune systems are at higher risk for more severe and prolonged illness. Young children and pregnant women may be more susceptible to dehydration resulting from diarrhea and should drink plenty of fluids while ill. Rapid loss of fluids from diarrhea may be especially life threatening to babies. Therefore, parents should talk to their healthcare providers about fluid replacement therapy options for infants.

Anti-diarrheal medicine may help slow down diarrhea, but a healthcare provider should be consulted before such medicine is taken. Nitazoxanide has been FDA-approved for treatment of diarrhea caused by Cryptosporidium in people with healthy immune systems and is available by prescription. However, the effectiveness of nitazoxanide in immunosuppressed individuals is unclear.

HIV-positive individuals who suspect they have cryptosporidiosis should contact their healthcare provider. For those persons with HIV/AIDS, anti-retroviral therapy that improves the immune status will also decrease or eliminate symptoms of cryptosporidiosis. However, even if symptoms disappear, cryptosporidiosis is often not curable and the symptoms may return if the immune status worsens.

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