[Cyclosporiasis: a clinical and epidemiological study in travellers with imported Cyclospora cayetanensis infection].
BACKGROUND
To assess the clinical and epidemiological characteristics of the enteritis produced by Cyclospora cayetanensis.


METHODS
A microbiological, epidemiological and clinical protocol in travelers to tropical and temperate areas affected by travelers diarrhea (TD).


RESULTS
C. cayetanenesis was isolated from 55 patients. 96% of them suffered TD. Persistent diarrhea (> 2 weeks) was present in 69% and weight loss > or = 3 kg in 38%. In 36% of cases, TD began after returning from the trip. Although C. cayetanensis has a cosmopolitan distribution, it was mostly isolated from travellers to Latin America, the Indian subcontinent and South East Asia. In only five cases a potential risk factor was detected: strawberries (3), buffalo's milk (1) and marinated fish "ceviche" (1).


CONCLUSIONS
C. cayetanensis is an emerging enteropathogen, isolated in 2-4% of Spanish travellers suffering from TD, and should be considered in the diferential diagnosis of this clinical entity.
Gascón
J
J
Sección de Medicina Tropical. Hospital Clínic, IDIBAPS, Barcelona. jgascon@clinic.ub.es
Alvarez
M
M
Eugènia Valls
M
M
Maria Bordas
J
J
Teresa Jiménez De Anta
M
M
Corachán
M
M
D021866:Cyclosporiasis / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology*; D003937:Diagnosis, Differential; D003967:Diarrhea / Q000188:drug therapy / Q000453:epidemiology* / Q000469:parasitology; D006801:Humans; D014195:Travel