Saturday, July 27, 2013

Stomach bug 2013 Cyclospora spreads to 15 states: Causes, diagnosis, symptoms, treatment (Video)


The stomach bug of 2013 called Cyclospora (Cyclo - spora) is becoming an outbreak of tropical illness in the United States and continues to spread to more states on a daily basis.  Cyclospora cayetanensis is a parasite composed of one cell which is too small to be seen without a microscope. This parasite causes an intestinal infection called cyclosporiasis.

As of July 26, 2013, the Centers for Disease Control and Prevention (CDC) is following the outbreak on a map. Click here for the CDC link.

As of July 25, 2013, the CDC  has been notified of 321 cases of Cyclospora infection in residents of multiple states and one city, including Iowa, Nebraska, Texas, Florida, New York City, Wisconsin, Georgia, Missouri, Arkansas, Connecticut, Minnesota, New Jersey, and Ohio. Illinois and Kansas have also notified CDC of one case each that may have been acquired out of state but in the United States. 

Click here to follow the newest and updated CDC investigation:
  • Most of the illness onset dates have ranged from mid-June through early July.
  • At least 18 persons reportedly have been hospitalized in three states.
  • No food items have been implicated to date, but public health authorities are pursuing all leads. Previous outbreak investigations have implicated various types of fresh produce.
  • It is not yet clear whether the cases from all of the states are part of the same outbreak.
  • No common events (e.g., social gatherings) have been identified among the case patients.


Causes of stomach bug Cyclospora:

The cause of the Cyclospora infection which is called Cyclosporiasis is due to a single-celled coccidian parasite.

Symptoms of the stomach bug Cyclospora:  
  • Watery diarrhea (most common)
  • Loss of appetite
  • Weight loss
  • Cramping
  • Bloating
  • Increased gas
  • Nausea
  • Fatigue
  • Other symptoms that may occur but are less common include:
  • Vomiting
  • Low-grade fever

“If a person ill with cyclosporiasis is not treated, symptoms can persist for several weeks to a month or more. Some symptoms, such as diarrhea, can return; and some symptoms, such as muscle aches and fatigue, may continue after the gastrointestinal symptoms have gone away. The infection usually is not life threatening. Some infected persons do not have any symptoms, particularly persons from areas where cyclosporiasis is endemic.”

Diagnosis of the stomach bug Cyclospora:

“Cyclospora infection is diagnosed by examining stool specimens. Diagnosis can be difficult in part because even persons who are symptomatic might not shed enough oocysts in their stool to be readily detectable by laboratory examinations. Therefore, patients might need to submit several specimens collected on different days.”

Treatment of the stomach bug Cyclospora:

Most people who have a healthy immune system will recover from the stomach bug without treatment. If not treated, the illness may last for a few days to a month or longer. Symptoms may seem to go away and then return one or more times (relapse).


According to the CDC, anti-diarrheal medicine may help reduce diarrhea, but a health care provider should be consulted before such medicine is taken. People who are in poor health or who have weakened immune systems may be at higher risk for severe or prolonged illness.