{"id":6380,"date":"2026-07-18T10:34:47","date_gmt":"2026-07-18T10:34:47","guid":{"rendered":"https:\/\/relocationtimess.com\/?p=6380"},"modified":"2026-07-18T10:34:47","modified_gmt":"2026-07-18T10:34:47","slug":"so-you-think-you-caught-cyclospora-the-diarrhea-causing-parasite-heres-what-to-do-next","status":"publish","type":"post","link":"https:\/\/relocationtimess.com\/?p=6380","title":{"rendered":"So you think you caught cyclospora, the diarrhea-causing parasite. Here\u2019s what to do next"},"content":{"rendered":"
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\n Ann McNitt found herself in the emergency room in Michigan this month with an upset stomach, nausea, vomiting and diarrhea. She had endured two full days of trips to the bathroom every 20 to 30 minutes and was concerned about her hydration and potassium levels.\n <\/p>

Read more Nuclear deal that would permit uranium enrichment by Saudi Arabia in limbo awaiting Trump admin sign off<\/a><\/p>\n

\n \u201cI went to the emergency room, still feeling horrible,\u201d recalled McNitt, 67.\n <\/p>\n

\n A retired nurse with over 40 years of experience \u2014 and decades-old memories of what she suspects was norovirus \u2014 McNitt recognized the symptoms of severe dehydration.\n <\/p>\n

\n In the ER, doctors set her up with an IV for fluids and a prescription for potassium tablets. They also ordered a test for cyclospora, the infamous parasite causing thousands of cases of severe diarrhea across the country.\n<\/p>\n

\n Since late June, thousands of people in Michigan have come down with the uncomfortable, longlasting symptoms associated with the parasite. Shredded iceberg lettuce sold at Taco Bell has been linked to the outbreak in at least five states, the US Centers for Disease Control and Prevention and the US Food and Drug Administration confirmed.\n <\/p>\n

\n Taylor Fresh Foods, the produce supplier linked to the contaminated Taco Bell lettuce, said Friday that it is removing all of its iceberg lettuce from central Mexico from the US market. The company added that its other products were not affected and that its Taylor Farms branded salad kits do not include iceberg lettuce.\n <\/p>\n

\n Taco Bell said Friday that it has removed Taylor Farms lettuce from its restaurants and its nationwide supply chain.\n <\/p>\n

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\nTaco Bell said Friday that it has removed Taylor Farms lettuce from its restaurants and its nationwide supply chain.<\/span>\n<\/div>\n
John Tlumacki\/The Boston Globe\/Getty Images\/File<\/figcaption>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

\n Two days after her visit to the hospital, McNitt got the call: She had tested positive for cyclosporiasis, the illness caused by the parasite, which is often linked to contaminated raw produce.\n <\/p>\n

\n In the couple weeks before she got sick, she had eaten \u201ca couple tacos at Taco Bell\u201d and \u201ca couple prepackaged salad kits from the grocery store\u201d \u2014 information she remembered after a 45-minute phone call with a contact tracer with the Michigan Department of Health.\n <\/p>\n

\n Cases in Michigan now total over 5,000, with over 100 hospitalizations. The CDC said it\u2019s also investigating cases beyond the outbreak in the Midwest \u2013 34 states are reporting cases around the country since May 1, maybe of them at higher levels than what\u2019s typical.\n <\/p>\n

\n But health officials acknowledge that cases are underreported. The symptoms of cyclospora resemble other, more common stomach bugs, and many people will try to wait it out at home rather than seeking care.\n <\/p>\n

\n If you suspect you may have the misery-inducing bug of the summer, here\u2019s what you need to know.\n <\/p>\n

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\nHow to avoid the tiny parasite causing diarrhea and cramping<\/span>\n<\/p>\n<\/div>\n<\/section>\n<\/div>\n

\nWhat are the signs of cyclosporiasis?<\/strong>\n<\/h2>\n

\n Symptoms of cyclospora infection don\u2019t show up until two to 14 days after exposure, which can make it tricky to identify the source.\n <\/p>\n

\n The telltale sign of a cyclospora infection is frequent, watery diarrhea. Along with that, you may have nausea, fatigue, increased gas, bloating, loss of appetite or weight loss. Other signs include vomiting, body aches, headache, low-grade fever and other flu-like symptoms.\n <\/p>\n

\n The catch with cyclosporiasis is that symptoms can last weeks \u2014 and sometimes even over a month.\n <\/p>\n

\n Until you have cyclosporiasis symptoms, there is no cause for concern if you have eaten at Taco Bell recently, especially in a state currently without a major outbreak, said Dr. Timothy Brewer, a professor of medicine and epidemiology at UCLA.\n <\/p>\n

\nHow sick could I get?<\/strong>\n<\/h2>\n

\n Similar to other gastrointestinal illnesses, like norovirus, the main concern is severe dehydration. Since cyclosporiasis can last a long time, the constant dehydration and lack of ability to take in nutrients can take a toll on the body.\n <\/p>\n

\n Although no deaths have been reported in this year\u2019s outbreaks, severe dehydration can cause more serious complications down the line, such as low blood pressure, kidney issues, rapid heart rate, electrolyte imbalances and strokes, according to Dr. Peter Chin-Hong, a professor of medicine and associate dean for regional campuses in the UCSF School of Medicine.\n <\/p>\n

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\nMan selecting a packaged salad from a refrigerated shelf in the produce aisle of a supermarket. The image captures a routine grocery shopping moment focused on fresh and ready-to-eat vegetables, highlighting healthy food choices, consumer decision making and everyday retail activity in a modern store environment.<\/span>\n<\/div>\n
Nico De Pasquale\/Moment RF\/Getty Images<\/figcaption>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n
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\nAn outbreak of diarrhea from a parasite is surging. Here\u2019s what to eat and what to avoid<\/span>\n<\/p>\n

6 min read<\/div>\n<\/div>\n<\/section>\n<\/div>\n

\nWhen should I seek medical care?<\/strong>\n<\/h2>\n

\n Many people recover from cyclosporiasis on their own, but if you suspect that you have it, recent FDA guidance says you should contact your healthcare provider. If you have diarrhea and other symptoms that last more than a few days, that\u2019s a sign it\u2019s time to speak with a doctor, as well.\n <\/p>\n

\n \u201cAny persistent chronic diarrhea \u2014 it comes and goes, it lasts for more than a week \u2014 for anyone, I think that that is [when] you\u2019d go to get tested,\u201d Chin-Hong said. Even watery diarrhea that persists longer than three days can warrant evaluation, he added.\n <\/p>\n

\n \u201cGenerally, when we think about patients with diarrhea, we recommend getting evaluated sooner rather than later in certain conditions,\u201d Brewer said. Even if you don\u2019t wind up testing positive for cyclospora, symptoms of bloody stools or fever, shaking, chills, confusion and severe fatigue may be signs of more serious problems that should be evaluated at an urgent care facility or emergency room.\n <\/p>\n

\n For \u201cpeople who are otherwise tolerating their diarrhea \u2014 it\u2019s not having substantial impacts on their health or their life \u2014 we usually recommend waiting about seven days, and if the diarrhea continues for more than seven days, we recommend that you get evaluated,\u201d Brewer added.\n <\/p>\n

\n If the symptoms do not improve, a cyclosporiasis diagnosis can be helpful for accessing treatment that will help you feel better, faster.\n <\/p>

Read more How Ron DeSantis turned Florida\u2019s governor race into a Republican family feud<\/a><\/p>\n

\n In addition, Chin-Hong said, even if you have only mild symptoms, getting tested is useful for the notification of public health authorities tracking these outbreaks.\n <\/p>\n

\n \u201cIf you\u2019re having diarrhea and you\u2019re just not feeling well, I think reaching out to your primary care physician is completely appropriate,\u201d Brewer said.\n <\/p>\n

\n If you have a weakened immune system, you may be more susceptible to severe infection and should contact your physician for a test.\n <\/p>\n

\n \u201cPeople who are immunocompromised are at higher risk for serious complications, like elderly individuals or infants, I would recommend they get seen sooner rather than later too,\u201d Brewer said. \u201cSo an infant with diarrhea, I would call my pediatrician right away.\u201d\n <\/p>\n

\n If you are otherwise healthy, it\u2019s time to go to an emergency room if you start showing symptoms of severe hydration, including skin tenting \u2014 when pinched skin stays up like a tent, even after being released \u2014 extreme fatigue, confusion, headache and darker urine, Brewer said.\n <\/p>\n

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\nThe test for cyclospora involves having a stool sample evaluated at a lab.<\/span>\n<\/div>\n
Melanie Moser\/CDC\/AP<\/figcaption>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

\nHow does testing work?<\/strong>\n<\/h2>\n

\n The test for cyclospora involves having a stool sample evaluated at a lab. Multiple samples \u2014 up to three \u2014 may be required over multiple days if the first test is negative, according to Dr. Anisha Misra, director of Cleveland Clinic\u2019s Parasitology Lab, as the amount of parasite shed in your fecal matter can change from day to day.\n <\/p>\n

\n Molecular testing \u2014 which uses polymerase chain reaction, or PCR, technology to search for cyclospora DNA in stool samples \u2014 is the most common way to test for cyclospora, according to Misra. However, many routine gastrointestinal PCR panels do not automatically test for cyclospora, so it\u2019s important that healthcare providers specifically request cyclospora testing.\n <\/p>\n

\n Cleveland Clinic lab technicians are performing microscopy-based tests, which allow the scientists to physically see the parasite, instead of molecular tests, which test for a larger panel and can be harder to have reimbursed through insurance, Misra said. Testing times can vary based on demand and resources. At Cleveland Clinic\u2019s lab, they aim for a 24- to 48-hour turnaround time for tests, with a maximum of four days, according to Misra.\n <\/p>\n

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\nWho\u2019s afraid of salad?<\/span>\n<\/p>\n

6 min read<\/div>\n<\/div>\n<\/section>\n<\/div>\n

\nWhat\u2019s the treatment for cyclosporiasis?<\/strong>\n<\/h2>\n

\n Treatment is typically antibiotics prescribed by a doctor. Usually, the first-choice treatment is trimethoprim\/sulfamethoxazole, a sulfonamide antibiotic commonly referred to by the brand names Bactrim or Septra. It\u2019s widely available and inexpensive.\n <\/p>\n

\n McNitt \u2014 who was able to access medicine two days after her positive test result \u2014 is allergic to trimethoprim\/sulfamethoxazole, and the frequent second-choice treatment for cyclospora is the antibiotic ciprofloxacin, but its side effects of tendon problems also made it too risky for McNitt, who has a history of multiple orthopedic surgeries.\n <\/p>\n

\n She wound up with a prescription for nitazoxanide, an antiprotozoal often used to treat diarrhea. But since this is the third-choice treatment option, McNitt said, it took longer to get a hold of, and even with insurance, she said she is paying $350 out of pocket for the tablets, which she will take twice a day for a week.\n <\/p>\n

\n \u201cThis is going to cost people so much money,\u201d McNitt added. \u201cI could afford this. A lot of people won\u2019t be able to.\u201d\n <\/p>\n

\nIf I test positive, who do I need to tell?<\/strong>\n<\/h2>\n

\n Cyclosporiasis is not easily transmitted from person to person; infections happen via the consumption of contaminated food. So as long as you are washing your hands and practicing good hygiene in food preparation areas, you don\u2019t need to worry about infecting others, and you can get back to your normal life as soon as you start feeling better.\n <\/p>\n

\n Cyclosporiasis is a nationally notifiable disease, so confirmed cases are typically reported by healthcare providers to state health departments and later to the CDC without the need for patient self-reporting.\n <\/p>\n

\n \u201cWhat the patient\u2019s role will be is that the public health agency may reach out to the patient to then ask them about potential exposures,\u201d Brewer said. \u201cIf public health personnel does reach out to you to ask you about what you\u2019ve eaten or drunk, particularly in the previous two weeks, taking the time to talk with them can greatly help in trying to figure out what the cause of the outbreak is.\u201d\n <\/p>\n

\nWhat should I do to feel better?<\/strong>\n<\/h2>\n

\n As with most diarrhea-causing illnesses, the best thing you can do while taking care of yourself at home is to stay hydrated and rest.\n <\/p>\n

\n \u201cWater is much more important than food, at least initially, in patients with diarrhea,\u201d Brewer said.\n <\/p>\n

\n It is important to focus on consuming liquids with salts and sugars to maximize absorption in the body, Brewer said. Oral rehydration solutions, which are sold in most pharmacies, and liquids that contain salts and sugars \u2014 like broths, apple juice and electrolyte solutions like Gatorade \u2014 are the best bet for keeping your fluids up.\n <\/p>\n

\n If this home care doesn\u2019t work and \u201cif you notice that your skin is tenting, if you\u2019re feeling fatigue, you\u2019re getting confused, those may be signs that you\u2019re not keeping up on your fluids, and you should go and be evaluated sooner rather than later,\u201d Brewer said.\n <\/p>\n

\n For food, a bland diet consumed in small amounts at a time is your best bet for staying as nourished as you can without irritating your stomach further, according to Chin-Hong.\n <\/p>\n

\n Rice, oatmeal, bananas, applesauce, toast, crackers and clear broths are all good options. In addition, he recommended avoiding fatty or fried foods, alcohol and artificial sweeteners.\n <\/p>

Read more Inside the fight over Israel tearing Democrats on the Hill apart<\/a><\/p>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"

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