Cyclospora

Today I’d like to share an important health update about Cyclospora, a microscopic parasite that is causing an increasing number of illnesses across the United States.

Although investigators are still working to identify the current source, previous outbreaks have most often been linked to fresh produce rather than meat or dairy products. Foods associated with past outbreaks include fresh basil, cilantro, leafy greens, bagged salads, raspberries, other berries, raw vegetables, and fresh herbs.

Symptoms of Cyclospora

Symptoms usually begin about one week after exposure and may include:

  • Profuse, watery, sometimes explosive diarrhea
  • Severe abdominal cramping
  • Nausea and vomiting
  • Loss of appetite
  • Fatigue
  • Weight loss

One important characteristic of Cyclospora is that it typically does not resolve within 24 hours. Symptoms may come and go for several weeks if left untreated.

How to Reduce Your Risk

You can lower your risk by following several simple food safety practices:

  • Wash your hands thoroughly with soap and water before and after preparing food.
  • Rinse fresh fruits and vegetables under running water.
  • Remove damaged outer leaves from produce when appropriate.
  • Cook produce whenever possible.

It’s also important to know that alcohol-based hand sanitizers and many produce rinses do not reliably kill Cyclospora, making proper washing especially important.

Treatment

The good news is that Cyclospora infection is treatable.

Doctor explaining Cyclospora foodborne illness while fresh fruits and vegetables are rinsed under running water to illustrate proper food safety and infection prevention.

The preferred antibiotic is trimethoprim-sulfamethoxazole (TMP-SMX), commonly known as Bactrimยฎ or Septraยฎ. Most patients improve quickly once appropriate treatment begins.

Patients with a sulfa allergy should discuss alternative treatment options with their healthcare provider, as there is no single equally effective standard alternative.

Why Heart Patients Should Be Especially Careful

For older adults and people with heart disease, severe diarrhea can quickly lead to dehydration.

This is especially important if you take blood pressure medications, diuretics, or medications for heart failure. Significant dehydration can:

  • Lower blood pressure
  • Reduce kidney function
  • Disrupt important electrolytes such as potassium and magnesium
  • Increase the risk of abnormal heart rhythms

If you develop persistent diarrhea, dizziness, difficulty keeping fluids down, a rapid heartbeat, or symptoms that last more than a day or two, contact your healthcare provider promptly. Seek emergency medical care if you become weak, confused, or are unable to stay hydrated.

The good news is that most people recover completely, particularly when the infection is recognized early and treated appropriately.

Stay informed, stay hydrated, and stay healthy.

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Dr. Raymond Singer

Dr. Singer has been in practice since 1992 and has, to date, performed over 8,456 surgeries. His practice interests include complex valve, coronary and aneurysm surgery, as well as prevention and treatment of lung cancer.

 

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