• 1

    Herwaldt BL, Ackers ML, 1997. An outbreak in 1996 of cyclosporiasis associated with imported raspberries. The Cyclospora Working Group. N Engl J Med 336 :1548–1556.

    • Search Google Scholar
    • Export Citation
  • 2

    Herwaldt BL, Beach MJ, 1999. The return of Cyclospora in 1997: another outbreak of cyclosporiasis in North America associated with imported raspberries. Cyclospora Working Group. Ann Intern Med 130 :210–220.

    • Search Google Scholar
    • Export Citation
  • 3

    Herwaldt BL, 2000. Cyclospora cayetanensis: a review, focusing on the outbreaks of cyclosporiasis in the 1990s. Clin Infect Dis 31 :1040–1057.

    • Search Google Scholar
    • Export Citation
  • 4

    Ortega YR, Sterling CR, Gilman RH, Cama VA, Diaz F, 1993. Cyclospora species–a new protozoan pathogen of humans. N Engl J Med 328 :1308–1312.

    • Search Google Scholar
    • Export Citation
  • 5

    Sterling CR, Ortega YR, 1999. Cyclospora: an enigma worth unraveling. Emerg Infect Dis 5 :48–53.

  • 6

    Ho AY, Lopez AS, Eberhart MG, Levenson R, Finkel S, da Silva AJ, Roberts JM, Orlandi PA, Johnson CC, Herwladt BL, 2002. Outbreak of cyclosporiasis associated with imported raspberries, Philadelphia, Pennsylvania, 2000. Emerg Infect Dis 8 :783–788.

    • Search Google Scholar
    • Export Citation
  • 7

    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 :23–27.

    • Search Google Scholar
    • Export Citation
  • 8

    Ayala-Gaytan JJ, Diaz-Olachea C, Riojas-Montalvo P, Palacios-Martinez C, 2004. Cyclosporidiosis: clinical and diagnostic characteristics of an epidemic outbread. Rev Gastroenterol Mex 69 :226–229.

    • Search Google Scholar
    • Export Citation
  • 9

    Blans MC, 2005. Cyclosporiasis outbreak, Indonesia. Emerg Infect Dis 11 :1453–1455.

  • 10

    Fryauff DJ, Krippner R, Prodjodipuro P, Ewald C, Kawengian S, Pegelow K, Yun T, von Heydwolff-Wehnert C, Oyofo B, Gross R, 1999. Cyclospora cayetanensis among expatriate and indigenous populations of West Java, Indonesia. Emerg Infect Dis 5 :585–588.

    • Search Google Scholar
    • Export Citation
  • 11

    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 :2047–2054.

    • Search Google Scholar
    • Export Citation
  • 12

    Ortega YR, Nagle R, Gilman RH, Watanabe J, Miyagui J, Quispe H, Kanagasuku 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 :1584–1589.

    • Search Google Scholar
    • Export Citation
  • 13

    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 :977–981.

    • Search Google Scholar
    • Export Citation
  • 14

    Ortega YR, Roxas CR, Gilman RH, Miller NJ, Cabrera L, Taquiri C, Sterling CR, 1997. Isolation of Cryptosporidium parvum and Cyclospora cayetanensis from vegetables collected in markets of an endemic region in Peru. Am J Trop Med Hyg 57 :683–686.

    • Search Google Scholar
    • Export Citation
  • 15

    Rabold JG, Hoge CW, Shlim DR, Kefford C, Rajah R, Echeverria P, 1994. Cyclospora outbreak associated with chlorinated drinking water. Lancet 344 :1360–1361.

    • Search Google Scholar
    • Export Citation
 
 
 

 

 
 
 

 

 

 

 

 

 

OUTBREAK OF CYCLOSPORIASIS AT A NAVAL BASE IN LIMA, PERU

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  • 1 Alerta-DISAMAR System Peruvian Navy; Naval Medical Research Center Detachment, Peru; DoD-Global Emerging Infections System (GEIS); Department of International Health, Johns Hopkins Bloomberg School of Public Health; Uniformed Services University

Cyclospora cayetanensis is emerging as an important cause of food-borne diarrheal outbreaks, especially in developed regions like the United States and Europe. We describe an outbreak of cyclosporiasis in Peruvian naval recruits that we believe to be the first among a local population in a developing region.

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