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Cyclospora cayetanensis: a review, focusing on the outbreaks of cyclosporiasis in the 1990s.
Clin Infect Dis. 2000 Oct; 31(4):1040-57.CI

Abstract

Cyclospora cayetanensis, a coccidian parasite that causes protracted, relapsing gastroenteritis, has a short recorded history. In retrospect, the first 3 documented human cases of Cyclospora infection were diagnosed in 1977 and 1978. However, not much was published about the organism until the 1990s. One of the surprises has been the fact that a parasite that likely requires days to weeks outside the host to become infectious has repeatedly caused foodborne outbreaks, including large multistate outbreaks in the United States and Canada. In this review, I discuss what has been learned about this enigmatic parasite since its discovery and what some of the remaining questions are. My focus is the foodborne and waterborne outbreaks of cyclosporiasis that were documented from 1990 through 1999. The occurrence of the outbreaks highlights the need for health care personnel to consider that seemingly isolated cases of infection could be part of widespread outbreaks and should be reported to public health officials. Health care personnel should also be aware that stool specimens examined for ova and parasites usually are not examined for Cyclospora unless such testing is specifically requested and that Cyclospora infection is treatable with trimethoprim-sulfamethoxazole.

Authors+Show Affiliations

Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30341-3724, USA. bxh4@cdc.gov

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

11049789

Citation

Herwaldt, B L.. "Cyclospora Cayetanensis: a Review, Focusing On the Outbreaks of Cyclosporiasis in the 1990s." Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, vol. 31, no. 4, 2000, pp. 1040-57.
Herwaldt BL. Cyclospora cayetanensis: a review, focusing on the outbreaks of cyclosporiasis in the 1990s. Clin Infect Dis. 2000;31(4):1040-57.
Herwaldt, B. L. (2000). Cyclospora cayetanensis: a review, focusing on the outbreaks of cyclosporiasis in the 1990s. Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, 31(4), 1040-57.
Herwaldt BL. Cyclospora Cayetanensis: a Review, Focusing On the Outbreaks of Cyclosporiasis in the 1990s. Clin Infect Dis. 2000;31(4):1040-57. PubMed PMID: 11049789.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cyclospora cayetanensis: a review, focusing on the outbreaks of cyclosporiasis in the 1990s. A1 - Herwaldt,B L, Y1 - 2000/10/10/ PY - 2000/04/18/received PY - 2000/05/23/revised PY - 2000/10/26/pubmed PY - 2001/3/3/medline PY - 2000/10/26/entrez SP - 1040 EP - 57 JF - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America JO - Clin. Infect. Dis. VL - 31 IS - 4 N2 - Cyclospora cayetanensis, a coccidian parasite that causes protracted, relapsing gastroenteritis, has a short recorded history. In retrospect, the first 3 documented human cases of Cyclospora infection were diagnosed in 1977 and 1978. However, not much was published about the organism until the 1990s. One of the surprises has been the fact that a parasite that likely requires days to weeks outside the host to become infectious has repeatedly caused foodborne outbreaks, including large multistate outbreaks in the United States and Canada. In this review, I discuss what has been learned about this enigmatic parasite since its discovery and what some of the remaining questions are. My focus is the foodborne and waterborne outbreaks of cyclosporiasis that were documented from 1990 through 1999. The occurrence of the outbreaks highlights the need for health care personnel to consider that seemingly isolated cases of infection could be part of widespread outbreaks and should be reported to public health officials. Health care personnel should also be aware that stool specimens examined for ova and parasites usually are not examined for Cyclospora unless such testing is specifically requested and that Cyclospora infection is treatable with trimethoprim-sulfamethoxazole. SN - 1058-4838 UR - https://www.unboundmedicine.com/medline/citation/11049789/full_citation L2 - https://academic.oup.com/cid/article-lookup/doi/10.1086/314051 DB - PRIME DP - Unbound Medicine ER -