eMedicine Specialties > Pediatrics: General Medicine > Parasitology

Cyclosporiasis: Follow-up

Author: Robert W Tolan Jr, MD, Chief, Division of Allergy, Immunology and Infectious Diseases, The Children's Hospital at Saint Peter's University Hospital; Clinical Associate Professor of Pediatrics, Drexel University College of Medicine
Coauthor(s): Cathy Jo Schroeder, RN, MSN, APN-C, Family Nurse Practitioner for James A Boozan MD, Otolaryngologist
Contributor Information and Disclosures

Updated: Jan 21, 2009

Follow-up

Deterrence/Prevention

  • As with other types of travelers' diarrhea, cyclosporiasis is easily preventable when traveling by avoiding untreated water and unpeeled fruits and vegetables, all of which can be contaminated.
  • When caring for hospitalized patients infected with Cyclospora species, institute enteric precautions with thorough handwashing after each episode of patient contact.

Prognosis

  • Because this infection is self-limited in the immunocompetent host, full recovery is expected.
  • With treatment and prophylaxis to prevent relapses, infection in the immunocompromised host can generally be adequately controlled.

Patient Education

  • Discuss proper precautions needed when traveling in endemic regions to prevent this and all other fecal-oral infections.

Miscellaneous

Medicolegal Pitfalls

  • Failure to consider the diagnosis of cyclosporiasis because identification of the oocysts may not occur during routine screening for stool pathogens

Special Concerns

  • Report cases of cyclosporiasis to the health department.
 


More on Cyclosporiasis

Overview: Cyclosporiasis
Differential Diagnoses & Workup: Cyclosporiasis
Treatment & Medication: Cyclosporiasis
Follow-up: Cyclosporiasis
References
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Further Reading

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Keywords

cyclosporiasis, acquired immunodeficiency syndrome, AIDS, biliary disease, blue-green algae, chronic diarrhea, coccidian-like body, Cyanobacterium infection, Cyclospora cayetanensis, C cayetanensis, diarrhea, gastroenteritis, GI infection, large Cryptosporidium infection, parasite, parasitic infection

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Contributor Information and Disclosures

Author

Robert W Tolan Jr, MD, Chief, Division of Allergy, Immunology and Infectious Diseases, The Children's Hospital at Saint Peter's University Hospital; Clinical Associate Professor of Pediatrics, Drexel University College of Medicine
Robert W Tolan Jr, MD is a member of the following medical societies: American Academy of Pediatrics, American Medical Association, American Society for Microbiology, American Society of Tropical Medicine and Hygiene, Infectious Diseases Society of America, Pediatric Infectious Diseases Society, Phi Beta Kappa, and Physicians for Social Responsibility
Disclosure: GlaxoSmithKline Honoraria Speaking and teaching; MedImmune Honoraria Consulting; MedImmune Honoraria Speaking and teaching; Merck Honoraria Speaking and teaching; Novartis Honoraria Speaking and teaching; sanofi pasteur Grant/research funds Unrestricted research grant; sanofi pasteur  Consulting; sanofi pasteur Honoraria Speaking and teaching; Tap Honoraria Speaking and teaching; Baxter Healthcare Honoraria Speaking and teaching

Coauthor(s)

Cathy Jo Schroeder, RN, MSN, APN-C, Family Nurse Practitioner for James A Boozan MD, Otolaryngologist
Cathy Jo Schroeder, RN, MSN, APN-C is a member of the following medical societies: American Academy of Nurse Practitioners and Sigma Theta Tau International
Disclosure: Nothing to disclose.

Medical Editor

Michael D Nissen, MBBS, BMedSc, FRACP, FRCPA, Associate Professor in Biomolecular, Biomedical Science & Health, Griffith University; Director of Infectious Diseases and Unit Head of Queensland Paediatric Infectious Laboratory, Sir Albert Sakzewski Viral Research Centre, Royal Children's Hospital
Michael D Nissen, MBBS, BMedSc, FRACP, FRCPA is a member of the following medical societies: American Academy of Pediatrics, American Society for Microbiology, Pediatric Infectious Diseases Society, Royal Australasian College of Physicians, and Royal College of Pathologists of Australasia
Disclosure: Nothing to disclose.

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine
Disclosure: Pfizer Inc Stock Investment from financial planner; Avanir Pharma Stock Investment from financial planner ; WebMD Salary and stock Employment and investment from financial planner

Managing Editor

Martin Weisse, MD, Program Director, Associate Professor, Department of Pediatrics, West Virginia University
Martin Weisse, MD is a member of the following medical societies: Ambulatory Pediatric Association, American Academy of Pediatrics, and Pediatric Infectious Diseases Society
Disclosure: Nothing to disclose.

CME Editor

Daniel Rauch, MD, FAAP, Director, Pediatric Hospitalist Program, Associate Professor, Department of Pediatrics, New York University School of Medicine
Daniel Rauch, MD, FAAP is a member of the following medical societies: Ambulatory Pediatric Association, American Academy of Pediatrics, and Society of Hospital Medicine
Disclosure: Baxter Honoraria Consulting; Pfizer Honoraria Consulting

Chief Editor

Russell W Steele, MD, Head, Division of Pediatric Infectious Diseases, Ochsner Children's Health Center; Clinical Professor, Department of Pediatrics, Tulane University School of Medicine
Russell W Steele, MD is a member of the following medical societies: American Academy of Pediatrics, American Association of Immunologists, American Pediatric Society, American Society for Microbiology, Infectious Diseases Society of America, Louisiana State Medical Society, Pediatric Infectious Diseases Society, Society for Pediatric Research, and Southern Medical Association
Disclosure: None None None

 
 
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