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350 cyclosporiasis cases reported in Wake County. Latest updates & recalls

North Carolina cyclosporiasis case update: 250+ new infections
A Taylor Farms sign is displayed at one of their facilities in Salinas, California, on Friday. The FDA on Monday defended its decision to publicize a sample of Taylor Farms’ lettuce from Central Mexico that a later review found was a false positive for the cyclospora parasite.

Cyclosporiasis is a gastrointestinal illness characterized by prolonged diarrhea. It is caused by the parasite cyclospora.

At least 350 cases of a parasite that causes intestinal distress have been identified in Wake County as of Tuesday, July 21. That’s about a 19% increase from the 295 Wake County cases reported Monday, July 20.

There are 561 cases of cyclosporiasis, a gastrointestinal illness caused by the single-celled parasite cyclospora, in North Carolina as of July 20. The North Carolina Department of Health and Human Services will update case counts on Tuesdays.

As of Tuesday, July 13, the CDC had evidence 81-160 of the cases in North Carolina were contracted in The United States. CDC data shows lower cases than many state and local health departments are reporting, as the CDC identifies whether the cases are acquired within the United States or not.

Not everyone who is infected will have severe enough symptoms to seek healthcare, which could make the number of cases higher than reported.

Lettuce recalls

Cyclosporiasis, the illness caused by cyclospora, is sometimes linked to contaminated produce products. The CDC and FDA identified iceberg lettuce from the brand Taylor Farms used by Taco Bell as the likely source of infections in five states.

Taylor Farms recalled several product lots as a result of the investigation. The shredded lettuce was distributed in a variety of states, including North Carolina. On Sunday, July 19, Taylor Farms announced that the FDA had made a mistake, and a Taylor Farms sample that had tested positive for cyclospora was a “false positive.”

While the sample was a false positive, the FDA’s traceback investigation still converges on Taylor Farms lettuce as a suspect, and people should continue to obey the company’s voluntary recall, the FDA confirmed on X, formerly known as Twitter.

Symptoms

Very young, old and immunocompromised people are at higher risk of a severe infection. Cyclosporiasis may take up to two weeks to cause symptoms, and often lasts longer than food poisoning.

According to the CDC, symptoms include:

  • Watery diarrhea (most common)
  • Loss of appetite
  • Weight loss
  • Cramping
  • Bloating
  • Increased gas
  • Nausea
  • Fatigue

Less common symptoms may include:

  • Vomiting
  • Body aches
  • Headache
  • Low-grade fever

Treatment

Cyclosporiasis can be treated with a combination antibiotic, Trimethoprim-sulfamethoxazole. Most people recover without treatment.

Patients who suspect cyclosporiasis should ask medical staff to test for it, as it is not routine.

Cooking or cleaning produce carefully can lower the risk of infection. Clean produce with clean water and dry it.

Portions of this story were previously published in The News & Observer.

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