First deaths reported in the US due to an outbreak of explosive diarrhea
The Centers for Disease Control and Prevention has recorded more than 18,000 cases of cyclosporiasis in the US during the current season
Two people in Michigan have died due to the cyclosporiasis outbreak. These are the first confirmed deaths related to this multistate outbreak of explosive diarrhea in the United States. Both victims had underlying health conditions that could have aggravated their situation.
"Two deaths have been identified as part of the cyclosporiasis outbreak affecting Michigan. According to medical records, both individuals had significant underlying health conditions that could have been affected by cyclosporiasis and dehydration. No additional information will be provided regarding these two cases," according to the Michigan Department of Health and Human Services.
To date, a total of 11,234 cases of cyclosporiasis have been reported in Michigan, of which 193 patients have required hospitalization. Health authorities highlight that, although deaths from this infection are rare, the number of cases has increased significantly this year.
Increase in cases
The Centers for Disease Control and Prevention (CDC) has recorded more than 18,000 cases of cyclosporiasis in the US during the current season. Of these, 6,707 have been confirmed, and additional testing is being carried out on another 11,500 suspected cases.
The Food and Drug Administration (FDA) is investigating several clusters of cases, including a significant outbreak in the Midwest. In response, iceberg lettuce from Taylor Farms, which is suspected of being contaminated, has been recalled.
Florida increases 100 cases in a week
On the other hand, Florida added almost 100 cases of cyclosporiasis in the last week with data available from the state health department, reported radio station WUSF.
From July 18 to 25, the state recorded 97 cases. 252 cases have been reported since June 1, the date the first outbreaks of the disease were reported in five Midwestern states.
Symptoms
The most characteristic symptoms of cyclosporiasis are watery diarrhea (sometimes explosive), abdominal cramps, nausea and fatigue. The diagnosis is made by analyzing stool samples with specific techniques to detect the oocysts of the parasite or its DNA.
Symptoms usually begin about a week after exposure (range 2 to 14 days) and can last several weeks if untreated. Clinical manifestations include:
In some cases, diarrhea may be intermittent: it improves temporarily and then returns for weeks.
How it is diagnosed
Diagnosis requires specific stool tests, as Cyclospora is not always detected in routine parasitological analysis. Diagnostic methods include:
If you have persistent diarrhea for more than several days, especially after consuming food or water that could be contaminated, it is advisable to consult a doctor and request a specific test for Cyclospora.
How to prevent cyclosporiasis
To prevent cyclosporiasis, the most important thing is to avoid food or water that may be contaminated with feces. It also helps to wash your hands thoroughly with soap and water before and after handling food, and before eating.
Practical measures
in the kitchen
It is advisable to clean and disinfect boards, knives, utensils and surfaces after preparing raw foods. It is also helpful to avoid cross-contamination by separating raw foods from ready-to-eat foods.
On trips
If you travel to areas where cyclosporiasis is common, prefer cooked foods or fruits that you can peel yourself, and avoid drinks or ice made with untreated water. Washing helps, but does not always completely eliminate the risk.
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