The FDA is now investigating the multistate Cyclospora outbreak that has sickened at least 250 people in the United States. According to the update, more than 250 people are sick in Iowa, Nebraska, Texas, Wisconsin, Georgia, Connecticut, Illinois, and Kansas. Officials are not yet sure if all of the cases are related.
Cyclospora cayetanensis is a one-celled parasite that causes an intestinal infection. It is spread by eating or drinking something that is contaminated with the parasite. The infection, unlike most, is not spread from person to person since the oocysts need time after being passed in feces to become infectious. People usually contract the disease traveling to tropical and subtropical areas of the world.
The parasite causes watery diarrhea, with frequently, sometimes explosive bowel movements. The illness can last up to two months and can recur even after treatment. Other symptoms include loss of appetite, stomach pain, weight loss, bloating, increased gas, fatigue, and nausea.
If you have these symptoms that last more than three days, contact your health care provider. Cyclosporiasis is a reportable disease. The infection is treated with sulfa, but unfortunately many people are allergic to that drug. Other treatment options are not as effective.
It can be difficult to wash the oocysts off food, especially soft fresh produce such as lettuce and raspberries. Still, public health officials recommend that you always wash and dry produce before preparing it and eating it. Wash hands, utensils, and surfaces with hot soapy water before and after handling food.