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Disease Profile

Parasitic

Cyclosporiasis

环孢子虫病

Cyclosporiasis is a gastrointestinal parasitic disease caused by Cyclospora cayetanensis, a protistan pathogen that is usually acquired through contaminated food or water via the fecal-oral route [1]. The available sources describe it as an underrecognized water-borne and food-borne infection with limited epidemiologic data and likely underestimated public-health impact [1]. Source-backed detail on timing, outbreak patterns, and burden estimates is not yet available [1][2].

Definition

Cyclosporiasis is a protozoal intestinal infection caused by Cyclospora cayetanensis and grouped among human parasitic diseases [1][2][3]. The organism is described as a socioeconomically important protistan pathogen, and the disease is typically linked to food or water exposure with fecal-oral transmission [1]. The source material does not provide a more specific taxonomic or clinical definition beyond this etiology-based characterization [1].

Clinical features

The illness is described as a gastrointestinal disease, and the available abstract notes that it can be complicated by extra-intestinal disorders [1]. Severity and outcome of parasitic disease may depend on host immune status, and complications are noted as being particularly relevant in immunocompromised people [3][1]. More general parasitic-infection literature indicates that intestinal parasitic disease can range from mild abdominal discomfort or diarrhea to more serious complications, but source-backed detail specific to cyclosporiasis is not yet available [2]. The reviewed sources do not provide a source-backed description of incubation period, symptom duration, relapse pattern, or specific organ complications [1][2].

Epidemiology

The sources state that few epidemiological data are available for Cyclospora as a water-borne and food-borne pathogen, both in underprivileged communities and in developed countries [1]. Cyclosporiasis is presented as occurring in a global context in which intestinal parasitic infections are common, with parasitic intestinal disease noted to predominate in settings of overcrowding and poor sanitation but also to occur in developed nations during sporadic outbreaks [2]. The review also indicates that the effect of cyclosporiasis on human health is likely underestimated [1]. Source-backed detail on incidence, seasonality, or geographic hotspots is not yet available [1].

Transmission

Cyclospora cayetanensis is usually transmitted to humans through food or water via the fecal-oral route [1]. The source material identifies cyclosporiasis as a food-borne and water-borne infection [1]. No more specific exposure vehicle, persistence factor, or person-to-person transmission detail is provided in the available snippets [1].

Risk groups

The sources identify immunocompromised people as a group in whom extra-intestinal complications are particularly noted [1]. More generally, parasitic intestinal infections are said to be associated with overcrowding and poor sanitation, and to occur in developed settings during sporadic outbreaks or among immigrants [2]. Source-backed detail on age-specific risk, occupational exposure, travel, or other specific groups is not yet available [1][2].

Prevention

The available sources point to prevention and control through international collaborative efforts, but they do not provide a detailed intervention package [1]. Because transmission is usually food- or water-associated and fecal-oral, exposure control in those domains is the source-supported prevention framework [1]. Source-backed detail on specific sanitation, food handling, or environmental control measures is not yet available [1][2].

Surveillance note

For surveillance purposes, cyclosporiasis should be read as a likely underdetected food- and water-borne parasitic disease with sparse epidemiologic data and probable underestimation of health impact [1]. Monitoring may be especially important in the setting of sporadic outbreaks and in contexts where intestinal parasitic infections occur despite development status [2][1]. The sources do not supply a case definition, laboratory surveillance standard, or timing marker for trend interpretation [1][2].

References
  1. 1 Giangaspero A et al. Human cyclosporiasis. Lancet Infect Dis. 2019 Jul. PMID: 30885589. doi: 10.1016/S1473-3099(18)30789-8. PubMed: https://pubmed.ncbi.nlm.nih.gov/30885589/
  2. 2 Hechenbleikner EM et al. Parasitic colitis. Clin Colon Rectal Surg. 2015 Jun. PMID: 26034403. doi: 10.1055/s-0035-1547335. PubMed: https://pubmed.ncbi.nlm.nih.gov/26034403/
  3. 3 Theel ES et al. Parasites. Microbiol Spectr. 2016 Aug. PMID: 27726821. doi: 10.1128/microbiolspec.DMIH2-0013-2015. PubMed: https://pubmed.ncbi.nlm.nih.gov/27726821/
  4. 4 Cyclosporiasis. Control of Communicable Diseases Clinical Practice. 2020. doi: 10.2105/ccdmc.3087.041. DOI: https://doi.org/10.2105/ccdmc.3087.041
  5. 5 Cyclosporiasis. Red Book Atlas of Pediatric Infectious Diseases. 2025. doi: 10.1542/9781610028233-41. DOI: https://doi.org/10.1542/9781610028233-41
  6. 6 Cyclosporiasis. Control of Communicable Diseases. 2019. doi: 10.2105/ccdml.2868.045. DOI: https://doi.org/10.2105/ccdml.2868.045
Coding Register
ICD-10
ICD-11
Key Statistics
Total cases
7K
Peak month
2019-07
Coverage
1 reporting countries · 2019-01-12 → 2026-06-20

Figure 1 | Full historical trajectories across all reporting countries.

Figure 2 | Year-over-year monthly comparison for seasonality and structural shifts.

Dataset Archive

Supplementary Data | Multi-country disease dataset

Machine-readable multi-country disease dataset (JSON/CSV) with source metadata.

Rows
352
Data Version
2026-06-20
Coverage
Included metadata
Source links, scope, cadence

Source Register

Official sources and update cadences used to construct the downloadable dataset.

US
US CDC NNDSSweeklyapi

United States

CDC National Notifiable Diseases Surveillance System provisional data.

Official source
Suggested presentation pattern: cite the data version and coverage window when exporting charts or tables for publication.