The therapeutic effect of halofuginone hydrobromide (Steronol) and spi
ramycin solubilized (Spirasol) applied to clinical Cryptosporidium ser
pentis infections in captive snakes was investigated. Pathological cha
nges induced by C. serpentis were typical for snake cryptosporidiosis.
Spiramycin induced no significant change in the pattern of shedding o
f fecal Cryptosporidium oocysts; biopsies and necropsies revealed cryp
tosporidiosis in gastric mucosa of all spiramycin-treated animals. In
all, 8 of 21 (38%) halofuginone-treated snakes stopped shedding C. ser
pentis oocysts; examination of gastric tissue of 6 of these 8 animals
revealed cryptosporidiosis in 2 snakes. Hepatotoxic and nephrotoxic pa
thological changes induced by halofuginone included focal or multifoca
l, severe, acute liver necrosis; severe liver hemosiderosis; and bilat
eral, severe, acute diffuse cortical and tubular necrosis and iron dep
osition. Postprandial regurgitation associated with midbody swelling,
observed in 4 halofuginone-treated and 2 spiramycin-treated snakes at
15 and 21 weeks after drug withdrawal, did not coincide with oocyst-po
sitive feces. Neither halofuginone nor spiramycin treatment produced a
satisfactory therapeutic outcome when applied against clinical C, ser
pentis infections in snakes.