Cyclospora Outbreak: NYC Lawyer's Ordeal With Mysterious Parasite

A recent United States outbreak of cyclosporiasis has sickened thousands, with one New York City attorney sharing a personal account of the debilitating illness. The parasite, transmitted through contaminated food and water, has a significant incubation period, making diagnosis challenging. The attorney experienced severe, watery diarrhea, nausea, and stomach cramps, initially believing it to be a common stomach bug or norovirus. However, the persistent and unusual nature of the symptoms, including an aversion to food and water, prompted medical attention.

Suspicions turned to a corporate lunch shared with colleagues approximately one week before symptom onset. The common element among those who fell ill was the consumption of leafy greens, specifically lettuce and cilantro, ingredients previously linked to cyclosporiasis outbreaks. While the exact source remains unconfirmed, lettuce is considered a prime suspect in the current U.S. epidemic. The illness resulted in a significant loss of appetite, weight loss, and a substantial impact on daily functioning.

After nearly three weeks since a suspected contaminated meal on May 13 and over two weeks since initial symptoms appeared, a stool test confirmed the presence of the cyclosporine parasite. Prompt treatment with the antibiotic Bactrim led to a significant recovery within two days. This experience has led to a heightened focus on food safety, with the attorney now cooking all meals at home and avoiding salads from public establishments, advocating for stronger public health regulations.