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Published on: September 14, 2019
[A rare gastroenteritis pathogen: Cyclospora]
Meltem Taşbakan1, Ayşegül Yolasiğmaz, Hüsnü Pullukçu
1Ege Universitesi Tip Fakültesi, Enfeksiyon Hastaliklari ve Klinik Mikrobiyoloji, Izmir, Turkey. tasbakan@yahoo.com
Abstract:
Cyclospora spp. which are coccidian parasites are rare gastroenteritis pathogens. The first cyclosporiasis case in Turkey was reported in 1998 in a patient with AIDS. In this paper we report a case of Cyclospora gastroenteritis, in a patient who was admitted to our hospital and who had had diarrhea, abdominal pain and nausea for ten days. In the anamnesis it was learned that he had travelled to the Black Sea region and had drunk muddy and cloudy water. His physical examination was normal except for increased bowel sounds. There were no leukocytes or erythrocytes in the direct microscopy of the stool and bacteriologic culture did not yield any enteropathogen. Cylospora oocyysts were seen in the parasitologic exmination. The patient was treated with cotrimaxasole (2x1,160/800 mg tablet). There was no pathogen in the repeated stool examination. Our case suggests that parasitologic examination should not be neglected in longlasting diarrhea cases and occasionally Cyclospora may be the causative agent.
Insights
Cyclospora is a rare cause of gastroenteritis. This case highlights the importance of parasitologic examination in persistent diarrhea, identifying Cyclospora oocysts after travel and consumption of contaminated water.
Area of Science:
- Medical Parasitology
- Infectious Diseases
- Gastroenterology
Background:
- Cyclospora spp. are coccidian parasites causing rare gastroenteritis.
- The first reported case in Turkey was in 1998 in an AIDS patient.
Observation:
- A patient presented with ten days of diarrhea, abdominal pain, and nausea.
- Travel history included the Black Sea region with consumption of muddy, cloudy water.
- Initial stool microscopy and bacterial cultures were negative for enteropathogens.
Findings:
- Parasitologic examination revealed Cyclospora oocysts.
- The patient responded well to cotrimoxazole treatment.
- Repeated stool examinations were negative for pathogens post-treatment.
Implications:
- This case underscores the significance of parasitologic stool examination in diagnosing prolonged diarrhea.
- Cyclospora should be considered as a potential causative agent, especially after travel and exposure to non-potable water.
- Timely diagnosis and treatment of cyclosporiasis can prevent prolonged gastrointestinal symptoms.
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