Outbreak of cyclosporiasis associated with imported raspberries, Philadelphia, Pennsylvania, 2000

被引:87
作者
Ho, AY
Lopez, AS
Eberhart, MG
Levenson, R
Finkel, BS
da Silva, AJ
Roberts, JM
Orlandi, PA
Johnson, CC
Herwaldt, BL
机构
[1] Philadelphia Dept Publ Hlth, Div Dis Control, Philadelphia, PA 19146 USA
[2] Atlanta Res & Educ Fdn, Atlanta, GA USA
[3] Ctr Dis Control & Prevent, Atlanta, GA USA
[4] US FDA, Washington, DC 20204 USA
关键词
D O I
10.3201/eid0808.020012
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
An outbreak of cyclosporiasis occurred in attendees of a wedding reception held in Philadelphia, Pennsylvania, on June 10, 2000. In a retrospective cohort study, 54 (68.4%) of the 79 interviewed guests and members of the wedding party met the case definition. The wedding cake, which had a cream filling that included raspberries, was the food item most strongly associated with illness (multivariate relative risk, 5.9; 95% confidence interval, 3.6 to 10.5). Leftover cake was positive for Cyclospora DNA by polymerase chain reaction analyses. Sequencing of the amplified fragments confirmed that the organism was Cyclospora cayetanensis. The year 2000 was the fifth year since 1995 that outbreaks of cyclosporiasis definitely or probably associated with Guatemalan raspberries have occurred in the spring in North America. Additionally, this is the second documented U.S. outbreak, and the first associated with raspberries, for which Cyclospora has been detected in the epidemiologically implicated food item.
引用
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页码:783 / 788
页数:6
相关论文
共 16 条
[1]  
*CDCP, 1997, MMWR-MORBID MORTAL W, V46, P689
[2]  
*CDCP, 1998, MMWR-MORBID MORTAL W, V47, P806
[3]   Fast and reliable extraction of protozoan parasite DNA from fecal specimens [J].
da Silva, AJ ;
Bornay-Llinares, FJ ;
Moura, INS ;
Slemenda, SB ;
Tuttle, JL ;
Pieniazek, NJ .
MOLECULAR DIAGNOSIS, 1999, 4 (01) :57-64
[4]  
Fayer R, 1997, CRYPTOSPORIDIUM CRYP
[5]   Cyclospora cayetanensis:: A review, focusing on the outbreaks of cyclosporiasis in the 1990s [J].
Herwaldt, BL .
CLINICAL INFECTIOUS DISEASES, 2000, 31 (04) :1040-1057
[6]   The return of Cyclospora in 1997:: Another outbreak of cyclosporiasis in North America associated with imported raspberries [J].
Herwaldt, BL ;
Beach, MJ .
ANNALS OF INTERNAL MEDICINE, 1999, 130 (03) :210-+
[7]   An outbreak in 1996 of cyclosporiasis associated with imported raspberries [J].
Herwaldt, BL ;
Ackers, ML ;
Farrar, J ;
Richardson, S ;
Nelson, R ;
Fletcher, M ;
Levy, M ;
Katz, D ;
Kumar, S ;
Malecki, J ;
Lowdermilk, M ;
Mackey, L ;
Bell, J ;
Portesi, D ;
Lacey, C ;
Letendre, L ;
Hamlin, D ;
Knowlton, R ;
Barry, A ;
Chew, D ;
Finelli, L ;
Genese, C ;
Miller, J ;
Layton, M ;
Guzewich, J ;
Salehi, E ;
Weltman, A ;
Caceres, V ;
Ball, R ;
Barnett, B ;
Hendricks, K ;
Taylor, J ;
Bell, R ;
Schoenfeld, S ;
Bryan, F ;
Neamatullah, S ;
Werker, D ;
Manuel, D ;
LeBer, C ;
Arrieta, M ;
Morrison, D ;
Klein, R ;
Wahlquist, S ;
Alfano, E ;
Eberhard, M ;
Arrowood, M ;
HannakDonaldson, K ;
Beach, M ;
Kramer, M ;
Hightower, A .
NEW ENGLAND JOURNAL OF MEDICINE, 1997, 336 (22) :1548-1556
[8]   An outbreak of cyclosporiasis in Florida in 1995: A harbinger of multistate outbreaks in 1996 and 1997 [J].
Koumans, EHA ;
Katz, DJ ;
Malecki, JM ;
Kumar, S ;
Wahlquist, SP ;
Arrowood, MJ ;
Hightower, AW ;
Herwaldt, BL .
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 1998, 59 (02) :235-242
[9]  
LEVY DA, 1998, INT C EM INF DIS ATL, P86
[10]   Outbreak of cyclosporiasis associated with basil in Missouri in 1999 [J].
Lopez, AS ;
Dodson, DR ;
Arrowood, MJ ;
Orlandi, PA ;
da Silva, AJ ;
Bier, JW ;
Hanauer, SD ;
Kuster, RL ;
Oltman, S ;
Baldwin, MS ;
Won, KY ;
Nace, EM ;
Eberhard, ML ;
Herwaldt, BL .
CLINICAL INFECTIOUS DISEASES, 2001, 32 (07) :1010-1017