Volume 91, Issue 3
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



, a coccidian parasite, can cause gastrointestinal illness in humans and is characterized by watery and persistent diarrhea and abdominal pain. Cyclosporiasis has been associated with traveler's diarrhea. The infection is acquired through food and waterborne transmission, particularly by consumption of contaminated fresh fruits and vegetables. In the present study, stool samples from 8,877 children were examined for ova and parasites at the Pediatric Hospital of Morelia in Michoacán, Mexico, during 2000–2009. Sixty children (0.67%) had in their stools. Diarrhea (45.8%), abdominal pain (39.6%), and vomiting (18.8%) were the most frequent symptoms of cases with cyclosporiasis. Most of the cases (93.3%) were observed during June–August, the rainy season. In 45 children, was the only parasitic pathogen detected (75%); 15 children were co-infected with commensal, pathogenic, or both groups of parasites. Our findings suggest that is endemic to Michoacán and shows characteristically temporal patterns.


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  1. Ortega YR, Sterling CR, Gilman RH, Cama VA, Diaz F, , 1993. Cyclospora species: a new protozoan pathogen of humans. N Engl J Med 328: 13081312.[Crossref] [Google Scholar]
  2. Agudelo P, Restrepo M, Galvis MT, Botero D, , 2000. Infeccion por Cyclospora sp en tres pacientes inmunocompetentes. Biomedica 20: 2532.[Crossref] [Google Scholar]
  3. Puente S, Morente A, Garcia-Benayas T, Subirats M, Gascon J, Gonzalez-Lahoz JM, , 2006. Cyclosporiasis: a point source outbreak acquired in Guatemala. J Travel Med 13: 334337.[Crossref] [Google Scholar]
  4. Rabold JG, Hoge CW, Shlim DR, Kefford C, Rajah R, Echeverria P, , 1994. Cyclospora outbreak associated with chlorinated drinking water. Lancet 344: 13601361.[Crossref] [Google Scholar]
  5. Botero-Garces J, Montoya-Palacio MN, Barguil JI, Castano-Gonzalez A, , 2006. An outbreak of Cyclospora cayetanensis in Medellin, Colombia. Rev Salud Publica (Bogota) 8: 258268.[Crossref] [Google Scholar]
  6. Shields JM, Olson BH, , 2003. Cyclospora cayetanensis: a review of an emerging parasitic coccidian. Int J Parasitol 33: 371391.[Crossref] [Google Scholar]
  7. Ortega YR, Sanchez R, , 2010. Update on Cyclospora cayetanensis, a food-borne and waterborne parasite. Clin Microbiol Rev 23: 218234.[Crossref] [Google Scholar]
  8. Doller PC, Dietrich K, Filipp N, Brockmann S, Dreweck C, Vonthein R, Wagner-Wiening C, Wiedenmann A, , 2002. Cyclosporiasis outbreak in Germany associated with the consumption of salad. Emerg Infect Dis 8: 992994.[Crossref] [Google Scholar]
  9. Hoang LM, Fyfe M, Ong C, Harb J, Champagne S, Dixon B, Isaac-Renton J, , 2005. Outbreak of cyclosporiasis in British Columbia associated with imported Thai basil. Epidemiol Infect 133: 2327.[Crossref] [Google Scholar]
  10. Lopez AS, Dodson DR, Arrowood MJ, Orlandi PA, Jr da Silva AJ, Bier JW, Hanauer SD, Kuster RL, Oltman S, Baldwin MS, Won KY, Nace EM, Eberhard ML, Herwaldt BL, , 2001. Outbreak of cyclosporiasis associated with basil in Missouri in 1999. Clin Infect Dis 32: 10101017.[Crossref] [Google Scholar]
  11. 2004. Outbreak of cyclosporiasis associated with snow peas–Pennsylvania, 2004. MMWR Morb Mortal Wkly Rep 53: 876878. [Google Scholar]
  12. Caceres VM, Ball RT, Somerfeldt SA, Mackey RL, Nichols SE, MacKenzie WR, Herwaldt BL, , 1998. A foodborne outbreak of cyclosporiasis caused by imported raspberries. J Fam Pract 47: 231234. [Google Scholar]
  13. Ho AY, Lopez AS, Eberhart MG, Levenson R, Finkel BS, da Silva AJ, Roberts JM, Orlandi PA, Johnson CC, Herwaldt BL, , 2002. Outbreak of cyclosporiasis associated with imported raspberries, Philadelphia, Pennsylvania, 2000. Emerg Infect Dis 8: 783788.[Crossref] [Google Scholar]
  14. Katz D, Kumar S, Malecki J, Lowdermilk M, Koumans EH, Hopkins R, , 1999. Cyclosporiasis associated with imported raspberries, Florida, 1996. Public Health Rep 114: 427438.[Crossref] [Google Scholar]
  15. Bern C, Ortega Y, Checkley W, Roberts JM, Lescano AG, Cabrera L, Verastegui M, Black RE, Sterling C, Gilman RH, , 2002. Epidemiologic differences between cyclosporiasis and cryptosporidiosis in Peruvian children. Emerg Infect Dis 8: 581585.[Crossref] [Google Scholar]
  16. Bern C, Hernandez B, Lopez MB, Arrowood MJ, de Mejia MA, De Merida AM, Hightower AW, Venczel L, Herwaldt BL, Klein RE, , 1999. Epidemiologic studies of Cyclospora cayetanensis in Guatemala. Emerg Infect Dis 5: 766774.[Crossref] [Google Scholar]
  17. Eberhard ML, Nace EK, Freeman AR, , 1999. Survey for Cyclospora cayetanensis in domestic animals in an endemic area in Haiti. J Parasitol 85: 562563.[Crossref] [Google Scholar]
  18. Lopez AS, Bendik JM, Alliance JY, Roberts JM, da Silva AJ, Moura IN, Arrowood MJ, Eberhard ML, Herwaldt BL, , 2003. Epidemiology of Cyclospora cayetanensis and other intestinal parasites in a community in Haiti. J Clin Microbiol 41: 20472054.[Crossref] [Google Scholar]
  19. Sherchand JB, Cross JH, , 2001. Emerging pathogen Cyclospora cayetanensis infection in Nepal. Southeast Asian J Trop Med Public Health 32 (Suppl 2): 143150. [Google Scholar]
  20. Berlin OG, Novak SM, Porschen RK, Long EG, Stelma GN, Schaeffer FW, III, 1994. Recovery of Cyclospora organisms from patients with prolonged diarrhea. Clin Infect Dis 18: 606609.[Crossref] [Google Scholar]
  21. Scaglia M, Gatti S, Bassi P, Viale PL, Novati S, Ranieri S, , 1994. Intestinal co-infection by Cyclospora sp. and Cryptosporidium parvum: first report in an AIDS patient. Parasite 1: 387390.[Crossref] [Google Scholar]
  22. Diaz E, Mondragon J, Ramirez E, Bernal R, , 2003. Epidemiology and control of intestinal parasites with nitazoxanide in children in Mexico. Am J Trop Med Hyg 68: 384385. [Google Scholar]
  23. Ponce-Macotela M, Cob-Sosa C, Martinez-Gordillo MN, , 1996. Cyclospora in 2 Mexican children. Rev Invest Clin 48: 461463. [Google Scholar]
  24. Sifuentes-Osornio J, Porras-Cortes G, Bendall RP, Morales-Villarreal F, Reyes-Teran G, Ruiz-Palacios GM, , 1995. Cyclospora cayetanensis infection in patients with and without AIDS: biliary disease as another clinical manifestation. Clin Infect Dis 21: 10921097.[Crossref] [Google Scholar]
  25. Li G, Xiao S, Zhou R, Li W, Wadeh H, , 2007. Molecular characterization of Cyclospora-like organism from dairy cattle. Parasitol Res 100: 955961.[Crossref] [Google Scholar]
  26. Martinez SI, Ayllon VL, Benitez PX, , 2002. Cyclospora cayetanensis: presentacion de 20 casos. Rev Cubana Pediatr 74: 178181. [Google Scholar]
  27. Cama RI, Parashar UD, Taylor DN, Hickey T, Figueroa D, Ortega YR, Romero S, Perez J, Sterling CR, Gentsch JR, Gilman RH, Glass RI, , 1999. Enteropathogens and other factors associated with severe disease in children with acute watery diarrhea in Lima, Peru. J Infect Dis 179: 11391144.[Crossref] [Google Scholar]
  28. Alakpa G, Fagbenro-Beyioku AF, Clarke SC, , 2002. Cyclospora cayetanensis in stools submitted to hospitals in Lagos, Nigeria. Int J Infect Dis 6: 314318.[Crossref] [Google Scholar]
  29. Arslan MO, Sari B, Kulu B, Mor N, , 2008. The prevalence of intestinal parasites in children brought to the Kars Maternal and Children's Hospital with complaints of gastrointestinal symptoms [in Turkish]. Turkiye Parazitol Derg 32: 253256. [Google Scholar]
  30. Goncalves EM, Uemura IH, Castilho VL, Corbett CE, , 2005. Retrospective study of the occurrence of Cyclospora cayetanensis at Clinical Hospital of the University of Sao Paulo Medical School, SP. Rev Soc Bras Med Trop 38: 326330.[Crossref] [Google Scholar]
  31. Dekker E, Karger PA, , 2002. Prolonged diarrhea and weight loss after a biking trip from Tibet to Nepal: infection with Cyclospora [in Dutch]. Ned Tijdschr Geneeskd 146: 15021504. [Google Scholar]
  32. Sancak B, Akyon Y, Erguven S, , 2006. Cyclospora infection in five immunocompetent patients in a Turkish university hospital. J Med Microbiol 55: 459462.[Crossref] [Google Scholar]
  33. Madico G, McDonald J, Gilman RH, Cabrera L, Sterling CR, , 1997. Epidemiology and treatment of Cyclospora cayetanensis infection in Peruvian children. Clin Infect Dis 24: 977981.[Crossref] [Google Scholar]
  34. Ortega YR, Nagle R, Gilman RH, Watanabe J, Miyagui J, Quispe H, Kanagusuku P, Roxas C, Sterling CR, , 1997. Pathologic and clinical findings in patients with cyclosporiasis and a description of intracellular parasite life-cycle stages. J Infect Dis 176: 15841589.[Crossref] [Google Scholar]
  35. Connor BA, Reidy J, Soave R, , 1999. Cyclosporiasis: clinical and histopathologic correlates. Clin Infect Dis 28: 12161222.[Crossref] [Google Scholar]
  36. Masucci L, Graffeo R, Siciliano M, Franceschelli A, Bugli F, Fadda G, , 2008. First Italian case of cyclosporiasis in an immunocompetent woman: local acquired infection. New Microbiol 31: 281284. [Google Scholar]
  37. Servicio Metereologico Nacional. Available at: http://smn.cna.gob.mx/. Accessed December 1, 2009.
  38. Herwaldt BL, , 2000. Cyclospora cayetanensis: a review, focusing on the outbreaks of cyclosporiasis in the 1990s. Clin Infect Dis 31: 10401057.[Crossref] [Google Scholar]
  39. Nimri LF, , 2003. Cyclospora cayetanensis and other intestinal parasites associated with diarrhea in a rural area of Jordan. Int Microbiol 6: 131135.[Crossref] [Google Scholar]
  40. Devera R, Blanco Y, Cabello E, , 2005. High prevalence of Cyclospora cayetanensis among indigenous people in Bolivar State, Venezuela. Cad Saude Publica 21: 17781784.[Crossref] [Google Scholar]
  41. Helmy MM, Rashed LA, Abdel-Fattah HS, , 2006. Co-infection with Cryptosporidium parvum and Cyclospora cayetanensis in immunocompromised patients. J Egypt Soc Parasitol 36: 613627. [Google Scholar]

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  • Received : 17 Sep 2013
  • Accepted : 27 May 2014
  • Published online : 03 Sep 2014

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