Concept

Cyclospora cayetanensis

Summary
Cyclospora cayetanensis is a coccidian parasite that causes a diarrheal disease called cyclosporiasis in humans and possibly in other primates. Originally reported as a novel pathogen of probable coccidian nature in the 1980s and described in the early 1990s, it was virtually unknown in developed countries until awareness increased due to several outbreaks linked with fecally contaminated imported produce. C. cayetanensis has since emerged as an endemic cause of diarrheal disease in tropical countries and a cause of traveler's diarrhea and food-borne infections in developed nations. This species was placed in the genus Cyclospora because of the spherical shape of its sporocysts. The specific name refers to the Cayetano Heredia University in Lima, Peru, where early epidemiological and taxonomic work was done. As originally recognized by Markus & Frean (1993), the first published report of Cyclospora cayetanensis in humans appears to be by Ashford (1979), who found unidentified Isospora-like coccidia in the feces of three individuals in Papua, New Guinea. They referenced Ashford's article. The photomicrographs in his paper reveal an organism morphologically identical to that seen nowadays. Markus had perceived the probable coccidial nature of Cyclospora in the 1980s but did not formally publish his ideas on the matter. Later, Narango et al. (1989) reported what may be the same organism from several Peruvians with chronic diarrhea and termed the organism Cryptosporidium muris–like. Other investigators thought the unsporulated oocysts appeared more similar to cyanobacteria, and the name "cyanobacterium-like body" or CLB became prevalent in the literature (occasionally, authors also used the term "coccidian-like body", or CLB). Eventually, Ortega et al. (1992) published an abstract reporting that they had sporulated and excysted the oocysts, resulting in placement of the parasite in the genus Cyclospora. They also created the name Cyclospora cayetanensis at this time. However, since no morphologic information was presented in the abstract, C.
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