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Cyclospora cayetanensis: this emerging protozoan pathogen in Mexico
José T Sánchez-Vega1, Héctor A Cabrera-Fuentes, Addi J Romero-Olmedo
1Parasitology Laboratory, Department of Microbiology and Parasitology, Faculty of Medicine, Universidad Nacional Autonoma de Mexico, Mexico City, Mexico; Faculty of Chemical Sciences, Universidad Autonoma Benito Juarez de Oaxaca, Oaxaca, Mexico; LOEWE Research Group Lung Cancer Epigenetics, Max-Planck-Institute for Heart and Lung Research, Bad Nauheim, Germany; Unidad Medica Familiar, Delegacion Sur, Unidad 21 Valle de Mexico, Instituto Mexicano del Seguro Social, Mexico City, Mexico; Institute of Fundamental Medicine and Biology, Kazan Federal University, Tatarstan, Russia; Biochemistry Institute, Medical School, Justus-Liebig University, Giessen, Germany.
A Mexican pilot was diagnosed with Cyclospora cayetanensis infection six months after visiting Peru. Successful treatment was achieved using nitazoxanide.
Area of Science:
- Tropical medicine
- Parasitology
- Infectious diseases
Background:
- Cyclospora cayetanensis is an opportunistic parasite that causes prolonged diarrheal illness.
- Travelers' diarrhea is a common health concern for international travelers, particularly to endemic regions.
Observation:
- A Mexican airline pilot presented with gastrointestinal illness following a five-day trip to Lima, Peru.
- The pilot experienced a delayed diagnosis of Cyclospora cayetanensis infection six months after the initial illness.
Findings:
- Serial coproparasitoscopic tests confirmed the presence of Cyclospora cayetanensis.
- The patient received two courses of nitazoxanide, resulting in a successful clinical recovery.
Implications:
- This case highlights the importance of considering parasitic infections in travelers with persistent gastrointestinal symptoms.
- Prompt diagnosis and appropriate treatment, such as with nitazoxanide, are crucial for managing Cyclospora infections.
- Public health awareness regarding Cyclospora transmission routes and prevention is essential for travelers visiting endemic areas.
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