Last week, 37 cases of Cyclospora infection were reported in Texas, but it’s too soon to tell if they are related to outbreaks reported in Iowa and Nebraska, according to Carrie Williams, a spokeswoman for the Texas Department of State Health Services. The department has issued a public health advisory to physicians suggesting that all patients presenting with prolonged diarrheal illness or diarrheal illness with anorexia, be tested for the parasite. A possible food source has not yet been identified. In Iowa, 87 people have been diagnosed with Cyclospora infections, in Nebraska there are 53 cases.
Cyclospora is a rare parasite that it most often found on raw fruits and vegetables. Onset of illness usually begins about a week after exposure. Cyclospora causes prolonged bouts of watery or explosive diarrhea that last, on average, 57 days. Other symptoms include nausea, vomiting, bloating, flatulence, burping, bloating, abdominal cramps, weight loss, loss of appetite, low-grade fever, fatigue and malaise. These symptoms can cause dehydration, a serious medical condition. Symptoms of dehydration include sunken eyes, reduced urine output, reduced tear production and dry mouth or tongue. Anyone experiencing these symptoms should see a doctor.
Food that is contaminated with Cyclospora will not necessarily look or taste “off.” If you think you may be part of the outbreak, talk with your doctor. A special test is necessary to diagnose the infection which is normally treated with antibiotics.