This content is for informational and educational purposes only. Always consult a qualified healthcare provider.
Last Updated on July 13, 2026 by Grace Oluchi
⚠️ Medical Disclaimer: This content is for informational purposes only. If you think you have Cyclospora, see a healthcare provider.
Key Takeaways
- 843 confirmed cases across 31 US states (CDC, July 9). Michigan alone has 1,562
- No source identified — FDA investigation ongoing. No recall issued
- Raspberries are high-risk — the parasite gets trapped in microscopic hairs on the fruit. Washing does NOT remove it
- Standard stool tests miss it — you must specifically ask for Cyclospora testing
- Key clue: symptoms come and go in waves for weeks (relapsing-remitting pattern)
- Treatable — Bactrim (TMP-SMX) for 7-10 days works
📋 Table of Contents
What Is Cyclosporiasis?
Cyclospora cayetanensis is a single-celled parasite that infects the small intestine. Unlike bacteria that cause food poisoning within hours, Cyclospora takes about 7 days after exposure to make you sick.
This matters because: if you ate something 12 hours ago and got sick, it’s not Cyclospora.
The 2026 Outbreak by the Numbers
| Source | Cases | Affected Area | As of |
|---|---|---|---|
| CDC (federal) | 843 | 31 states | July 9 |
| Michigan DHHS | 1,562 | 43 counties | July 10 |
| Estimated total | ~3,000 | 31+ states | July 13 |
The FDA has not yet identified the contaminated food. This means no recall has been issued — you cannot protect yourself simply by avoiding a known product.
6 Symptoms to Watch For
- Watery diarrhea — 6-10 bowel movements per day at peak, often described as explosive
- Severe fatigue — worse than you’d expect from diarrhea alone
- Stomach cramps and bloating
- Loss of appetite and weight loss
- Nausea
- Low-grade fever (under 101°F / 38.5°C) — only in about 1 in 3 cases
The #1 Clue: It Comes and Goes
Most stomach bugs hit hard, then get better and stay better. Cyclospora is different.
It creates a relapsing-remitting pattern: you feel better for a day or two, then symptoms return at full strength. This cycle repeats for weeks.
If your “stomach bug” keeps coming back after seeming to resolve, consider Cyclospora.
Why Raspberries Are a Problem
The Cyclospora oocyst (infectious form) is 8-10 micrometers — roughly the size of a red blood cell.
Raspberries have microscopic papillae (hair-like projections) on their surface. The parasite gets physically trapped in these hairs. Washing cannot remove it. The CDC states that rinsing produce is “not likely to remove” Cyclospora. Cooking kills it. Freezing does not.
Foods linked to past outbreaks:
- Raspberries (multiple outbreaks)
- Cilantro (Mexico-origin)
- Basil
- Snow peas
- Bagged salad mixes
- Mesclun lettuce
What to Say to Your Doctor
This is critical. Standard stool tests check for Salmonella, E. coli, and Shigella. They do NOT test for Cyclospora.
If you have diarrhea lasting more than 3-5 days, especially with the relapsing pattern, say this exact sentence:
“I’m concerned about Cyclospora given the current outbreak. Can you order modified acid-fast staining or PCR specifically for Cyclospora?”
Without this request, you may be told “it’s probably viral” and sent home with a treatable infection.
Treatment
| Situation | Treatment |
|---|---|
| Adults | TMP-SMX DS (Bactrim) twice daily for 7-10 days |
| Children | Weight-based dosing — ask your pediatrician |
| Sulfa allergy | Requires infectious disease specialist — no proven alternative |
| Symptom relief | Imodium helps symptoms but does NOT cure the infection |
Cyclospora vs. Stomach Virus: How to Tell the Difference
| Norovirus / Stomach Bug | Cyclosporiasis | |
|---|---|---|
| When it starts | 12-48 hours after exposure | ~7 days after exposure |
| How long it lasts | 1-3 days | Weeks to months if untreated |
| Pattern | Gets bad, then better (once) | Comes and goes in waves |
| Fatigue level | Mild | Severe, disproportionate |
| Stool test needed? | No | Yes — must be specifically ordered |
| Treatment | Rest and fluids | Prescription antibiotic (Bactrim) |
How to Protect Yourself (Until the Source Is Found)
- Cook your produce — heat kills Cyclospora. This is the only guaranteed method
- Avoid raw raspberries, cilantro, and basil during the outbreak (highest historical risk)
- Wash produce under running water — reduces risk but does not eliminate it
- Scrub firm produce (carrots, potatoes) with a brush
- Wash hands after handling fresh produce
Cyclosporiasis Outbreak Map
States with confirmed cases: Michigan (1,562 — largest cluster), Ohio, Indiana, Illinois, New York, North Carolina, plus 25 additional states.
For the most current map, check the CDC Cyclosporiasis page.
Quick Answers
Can I catch it from another person?
Rare. The parasite needs time in the environment before it becomes infectious.
Can I get it again after treatment?
Yes. Reinfection is possible. No long-lasting immunity.
Should I throw away my raspberries?
The CDC hasn’t named a specific food. If you’re in a high-incidence state (Michigan, Ohio, Indiana, Illinois), avoiding raw raspberries and cilantro is a reasonable precaution.
Does hand sanitizer kill it?
No. Alcohol-based sanitizers do not reliably kill Cyclospora. Wash with soap and water.
Sources
- CDC Cyclosporiasis Surveillance
- FDA Active Outbreak Investigations
- FDA Cyclospora Information
- Michigan DHHS
- Medical Daily Produce Safety Guide
Multiple breakout searches this week mention Taco Bell and Taylor Farms in connection with the Cyclospora outbreak. The FDA has not officially named either as a confirmed source as of July 13. However, past Cyclospora outbreaks have been linked to produce from Taylor Farms, and Taco Bell has faced produce-related investigations before. Neither company has issued a recall. If you ate at Taco Bell recently and developed diarrhea 7 days later, mention it to your doctor. The FDA investigation is ongoing. Bottom line: Until the FDA confirms a source, avoid raw raspberries, cilantro, and basil — the highest-risk foods from past outbreaks. Lettuce recall is surging in search this week. Here is what you need to know. There is no confirmed link between current lettuce recalls and the Cyclospora outbreak as of July 13. Lettuce recalls are typically issued for E. coli or Salmonella contamination — different bacteria that cause illness within hours, not days. If you recently bought bagged lettuce and see a recall notice, check the FDA recall list. The current Cyclospora outbreak has not been linked to lettuce by the FDA. However, bagged salad mixes and mesclun lettuce have been linked to Cyclospora outbreaks in past years (2020, 2022). Until the source is identified, washing all bagged lettuce before eating is a reasonable precaution.What About Taco Bell and Taylor Farms?
Is the Lettuce Recall Related to Cyclospora?
