AJTMH ASTMH MEMBERSHIP INFORMATION: astmh@astmh.org
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Am. J. Trop. Med. Hyg., 59(2), 1998, pp. 235-242
Copyright © 1998 by The American Society of Tropical Medicine and Hygiene

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Koumans, E.
Right arrow Articles by Herwaldt, B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Koumans, E.
Right arrow Articles by Herwaldt, B.
Related Collections
Right arrow Coccidian infections
Right arrow Cyclospora
Right arrow Cyclosporidiosis
Right arrow Diarrheal diseases
American Journal of Tropical Medicine and Hygiene, Vol 59, Issue 2, 235-242
Copyright © 1998 by American Society of Tropical Medicine and Hygiene

Research Articles


An outbreak of cyclosporiasis in Florida in 1995: a harbinger of multistate outbreaks in 1996 and 1997

EH Koumans, DJ Katz, JM Malecki, S Kumar, SP Wahlquist, MJ Arrowood, AW Hightower, and BL Herwaldt

Before 1995, only one outbreak of cyclosporiasis had been reported in the United States. To identify risk factors for Cyclospora infection acquired in Florida in 1995, we conducted a matched case-control study (24 sporadic cases and 69 controls) and retrospective cohort studies of clusters of cases associated with two May social events (attack rates = 15.4% [8 of 52] and 54.5% [6 of 11]). In univariate analysis of data from the case-control study, consumption of fresh raspberries (odds ratio [OR] = 6.0, 95% confidence interval [CI] = 1.1-31.7) and bare-handed contact with soil (OR = 5.4, 95% CI = 1.4-20.7) were associated with infection; soil contact was also implicated in multivariate analysis. For the events, mixed-fruit items that had only fresh raspberries and strawberries in common had elevated relative risks (3.7 and 4.2), but the confidence intervals overlapped 1.0. The raspberries eaten at the events and by sporadic case-patients were imported. Given the cumulative evidence of the three studies and the occurrence in 1996 and 1997 of outbreaks in North America associated with consumption of Guatemalan raspberries, food-borne transmission of Cyclospora was likely in 1995 in Florida as well.


This article has been cited by other articles:


Home page
 J Med MicrobiolHome page
B. Sancak, Y. Akyon, and S. Erguven
Cyclospora infection in five immunocompetent patients in a Turkish university hospital.
J. Med. Microbiol., April 1, 2006; 55(Pt 4): 459 - 462.
[Abstract] [Full Text] [PDF]

Home page
 Appl. Environ. Microbiol.Home page
P. A. Orlandi, L. Carter, A. M. Brinker, A. J. da Silva, D.-M. Chu, K. A. Lampel, and S. R. Monday
Targeting Single-Nucleotide Polymorphisms in the 18S rRNA Gene To Differentiate Cyclospora Species from Eimeria Species by Multiplex PCR
Appl. Envir. Microbiol., August 1, 2003; 69(8): 4806 - 4813.
[Abstract] [Full Text] [PDF]

Home page
 ANN INTERN MEDHome page
B. L. Herwaldt, M. J. Beach, and the Cyclospora Working Group*
The Return of Cyclospora in 1997: Another Outbreak of Cyclosporiasis in North America Associated with Imported Raspberries
Ann Intern Med, February 2, 1999; 130(3): 210 - 220.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1998 by the American Society of Tropical Medicine and Hygiene.