Cyclospora Outbreak Highlights Symptoms Beyond Diarrhea
Nationwide Increase in Cyclospora Cases
A Cyclospora outbreak is affecting thousands across the U.S., with Michigan reporting the highest number of cases. The CDC has confirmed 1,645 infections in 34 states, alongside 141 hospitalizations. There have been no deaths reported. Over 5,100 more cases are under review for possible links to the outbreak.
Potential Source of the Outbreak
The FDA and CDC identified shredded iceberg lettuce from Mexico, produced by Taylor Farms, as a potential link to the outbreak. Consumers are advised to avoid such lettuce from Taco Bell in Michigan, Indiana, Ohio, Kentucky, and West Virginia. Taylor Farms may recall products tied to the situation, but details remain pending. Taco Bell emphasizes that no definitive connection to their products has been confirmed.
Patient Experience: More than Diarrhea
“The symptoms are much more complicated than just explosive diarrhea.” – Chase Strangio
Chase Strangio, a civil rights lawyer, detailed his experience with Cyclospora. After consuming lettuce and cilantro at a New York lunch event, he faced severe diarrhea, stomach cramps, and loss of appetite. These symptoms lingered after the diarrhea subsided. Tests later confirmed a Cyclospora infection. Strangio’s experience highlights that the illness involves broader symptoms than commonly noted.
Common Symptoms and Treatment
While prolonged diarrhea is the key symptom, Cyclospora can also lead to:
- Severe fatigue
- Loss of appetite and weight loss
- Intense stomach cramps and bloating
- Nausea and increased gas
Treatment involves the antibiotic trimethoprim-sulfamethoxazole (Bactrim), the CDC’s recommended medication. Supportive care, especially hydration, is crucial. Strangio noted improvement after taking Bactrim, though some colleagues unable to take it remain ill.
Understanding Cyclospora Origins
Cyclospora cayetanensis, the cause of cyclosporiasis, is a parasite stemming from contamination by human feces in food or water. Fresh produce is often affected through irrigation and washing processes. Cooking can neutralize the parasite, which requires environmental exposure to mature and become infectious. Person-to-person spread is uncommon in Cyclospora cases.
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