An outbreak in 1996 of cyclosporiasis associated with imported raspberries

New England Journal of Medicine

Volumn 336, Issue 22, 1997, Pages 1548-1556

  Herwaldt, Barbara L ^a   Ackers, Marta Louise ^a,b  

^a CENTERS FOR DISEASE CONTROL AND PREVENTION   (United States)

^b NATL CENTER FOR INFECTIOUS DISEASES   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE GASTROENTERITIS; ARTICLE; CONTAMINATION; CYCLOSPORA; DISEASE TRANSMISSION; FRUIT; GUATEMALA; HUMAN; MAJOR CLINICAL STUDY; PARASITOSIS; PRIORITY JOURNAL; UNITED STATES;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ANIMALS; CANADA; CHILD; CHILD, PRESCHOOL; CLUSTER ANALYSIS; COCCIDIOSIS; COHORT STUDIES; DISEASE OUTBREAKS; EUCOCCIDIIDA; FEMALE; FOOD PARASITOLOGY; FOOD POISONING; FRUIT; GASTROENTERITIS; GUATEMALA; HUMANS; INFANT; MALE; MIDDLE AGED; RETROSPECTIVE STUDIES; UNITED STATES;

EID: 0031009275     PISSN: 00284793     EISSN: None     Source Type: Journal    
DOI: 10.1056/NEJM199705293362202     Document Type: Article

References (39)

1. Ortega YR, Sterling CR, Gilman RH, Cama VA, Díaz F. Cyclospora species - a new protozoan pathogen of humans. N Engl J Med 1993;328: 1308-12.
2. Soave R. Cyclospora: an overview. Clin Infect Dis 1996;23:429-37.
3. Hoge CW, Shlim DR, Rajah R, et al. Epidemiology of diarrhoeal illness associated with coccidian-like organism among travellers and foreign residents in Nepal. Lancet 1993;341:1175-9.
4. Bendall RP, Lucas S, Moody A, Tovey G, Chiodini PL. Diarrhoea associated with cyariobacterium-like bodies: a new coccidian enteritis of man. Lancet 1993;341:590-2.
5. Sun T, Ilardi CF, Asnis D, et al. Light and electron microscopic identification of Cyclospora species in the small intestine: evidence of the presence of asexual life cycle in human host. Am J Clin Pathol 1996;105:216-20.
6. Hoge CW, Shlim DR, Ghimire M, et al. Placebo-controlled trial of cotrimoxazole for Cyclospora infections among travellers and foreign residents in Nepal. Lancet 1995;345:691-3. [Erratum, Lancet 1995;345:1060.]
7. Garcia LS, Bruckner DA. Diagnostic medical parasitology. 3rd ed. Washington, D.C.: American Society for Microbiology, 1997:66-9.
8. Visvesvara GS, Moura H, Kovacs-Nace E, Wallace S, Eberhard ML. Uniform staining of Cyclospora oocysts in fecal smears by a modified safranin technique with microwave heating. J Clin Microbiol 1997;35: 730-3.
9. Relman DA, Schmidt TM, Gajadhar A, et al. Molecular phylogenetic analysis of Cyclospora, the human intestinal pathogen, suggests that it is closely related to Eimeria species. J Infect Dis 1996;173:440-5.
10. Pieniazek NJ, Siemenda SB, da Suva AJ, Alfano EM, Arrowood MJ. PCR confirmation of infection with Cyclospora cayetanensis. Emerging Infect Dis 1996;2:357-9.
11. Huang P, Weber JT, Sosin DM, et al. The first reported outbreak of diarrheal illness associated with Cyclospora in the United States. Ann Intern Med 1995,123:409-14.
12. Koumans EH, Katz D, Malecki J, et al. Novel parasite and mode of transmission: Cyclosporn infection - Florida. In: 45th Annual Epidemic Intelligence Service (EIS) Conference, April 22-26, 1996. Hyattsville, Md.: Public Health Service, 1996:60-1. abstract.
13. Carter R, Guido F, Jacquette G, Rapoport M. Outbreak of cyclosporiasis associated with drinking water. In: Program of the 30th Interscience Conference on Antimicrobial Agents and Chemotherapy, New Orleans, September 15-18, 1996. Washington, D.C.: American Society for Microbiology, 1996:259. abstract.
14. Outbreaks of Cyclospora cayetanensis infection - United States, 1996. MMWR Morb Mortal Wkly Rep 1996;45:549-51.
15. Update: outbreaks of Cyclospora cayetanensis infection - United States and Canada, 1996. MMWR Morb Mortal Wkly Rep 1996;45:611-2.
16. Fleming C, Caron D, Gunn JE, Barry MA. A foodborne outbreak of Cyclospora cayetanensis at a wedding. In: Program of the 36th Interscience Conference on Antimicrobial Agents and Chemotherapy, New Orleans, September 15-18, 1996. Washington, D.C.: American Society for Microbiology, 1996:11. abstract. (Program addendum, LB24.)
17. Chew D, Caraballo R, Hofmann J, Liu Z, Herwaldt B, Finelli L. Cyclospora cayetanensis infection associated with consumption of raspberries, New Jersey, 1996. In: Program of the 36th Interscience Conference on Antimicrobial Agents and Chemotherapy, New Orleans, September 15-18, 1996. Washington, D.C.: American Society for Microbiology, 1996. abstract. (Program addendum, LB25.)
18. Katz D, Kumar S, Malecki J, et al. Cyclosporosis and consumption of Guatemalan raspberries - Florida, 1996. Presented at the 124th Annual Meeting and Exposition of the American Public Health Association, November 17-21, 1996. abstract.
19. Neamatullah S, Manuel D, Werker D, et al. Investigation of Cyclospora outbreak associated with consumption of fresh berries. In: 64th Conjoint Meeting on Infectious Diseases, Hamilton, Ont., November 10-14, 1996. Edmonton, Alta.: Canadian Association for Clinical Microbiology and Infectious Diseases, 1996:M-6.
20. Colley DG. Widespread foodborne cyclosporiasis outbreaks present major challenges. Emerging Infect Dis 1996;2:354-6.
21. Hart AS, Ridinger MT, Soundarajan R, Peters CS, Swiatlo AL, Kocka FE. Novel organism associated with chronic diarrhoea in AIDS. Lancet 1990;335:169-70.
22. Ashford RW. Occurrence of an undescribed coccidian in man in Papua New Guinea. Ann Trop Mod Parasitol 1979;73:497-500.
23. Connor BA, Shlini DR. Foodborne transmission of Cydospora. Lancet 1995;346:1634.
24. Roxas C, Miller N, Cabrera L, Ortega Y, Gilman R, Sterling C. Vegetables as a potential transmission route for Cyclospora and Cryptosporidium. In: Abstracts of the 96th General Meeting of the American Society for Microbiology, New Orleans, May 19-23, 1996. Washington, D.C.: American Society for Microbiology, 1996:19. abstract.
25. Outbreaks of diarrheal illness associated with cyanobacteria (bluegreen algae) -like bodies - Chicago and Nepal, 1989 and 1990. MMWR Morb Mortal Wkly Rep 1991;40:325-7.
26. Chalker RB, Blaser MJ. A review of human salmonellosis, III. Magnitude of Salmonella infection in the United States. Rev Infect Dis 1988;10; 111-24.
27. Fresh fruit and vegetable shipments by commodities, states, and months, FVAS-4, calendar year 1996. Washington, D.C.: Department of Agriculture (in press).
28. Fresh fruit and vegetable arrivals in eastern cities, FVAS-1, calendar year 1996. Washington, D.C.: Department of Agriculture (in press).
29. Fresh fruit and vegetable arrivals in western cities, FVAS-2, calendar year 1996. Washington, D.C.: Department of Agriculture (in press).
30. García-López HL, Rodriguez-Tovar LE, Medina-Do la Garza CE. Identification of Cyclospora in poultry. Emerging Infect Dis 1996;2: 356-7.
31. Zerpa R, Uchima N, Huicho L. Cyclospora cayetanensis associated with watery diarrhoea in Peruvian patients. J Trop Med Hyg 1995;98:3259.
32. Smith HV, Paton CA, Girdwood RWA, Mtambo MMA. Cyclospora in non-human primates in Gombe, Tanzania. Vet Rec 1996;138:528.
33. Rabold JG, Hoge CW, Shlim DR, Kefford C, Rajah R, Echeverria P. Cyclospora outbreak associated with chlorinated drinking water. Lancet 1994;344:1360-1.
34. Robbins JA, Sjulin TM. Scanning electron microscope analysis of drupelet morphology of red raspberry and related Rubus genotypes. J Am Soc Horticult Sci 1988;113:474-80.
35. The National Advisory Committee on Microbiological Criteria for Foods. Hazard analysis and critical control point system. Int J Food Microbiol 1992;16:1-23.
36. Committee on Communicable Diseases Affecting Man. Procedures to implement the hazard analysis critical control point system. Ames, Iowa: International Association of Milk, Food, and Environmental Sanitarians, 1991:1-72.
37. Hedbcrg CW, MacDonald KL, Osterholm MT. Changing epidemiology of food-borne disease: a Minnesota perspective. Clin Infect Dis 1994; 18:671-82.
38. Blaser MJ. How safe is our food? Lessons from an outbreak of salmonellosis. N Engl J Med 1996;334:1324-5.
39. Tauxe RV, Hughes JM, International investigation of outbreaks of foodborne disease, BMJ 1996;313:1093-4.