The obligate intracellular protozoan parasites belonging to the phylum
Microspora are ubiquitous. They parasitize insects and ail five class
es of vertebrates. Only one genus infects mammals and birds but at lea
st four genera affect humans. Two genera have been isolated from human
specimens and both infect experimental animals. Some genera (eg, Ente
rocytozoon and Pleistophora) seem to be limited to a very few tissues
but others (Encephalitozoon and the Encephalitozoon-like genus Septata
) can infect multiple organs. Lesions range from classic mitrogranulom
as to foci of infected cells unaccompanied by any inflammatory respons
e. The most commonly occurring microsporidia infection of man (Enteroc
ytozoon bieneusi) is characterized by infection of enterocytes of the
villus tips of the small intestine, accompanied by villus blunting, cr
ypt hyperplasia, sloughing of infected villus tip cells, and increased
numbers of intraepithelial lymphocytes.