[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

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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