Health Officials Warn of ‘Explosive Diarrhea’ Parasite Spreading Across North Carolina

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A parasitic infection known for causing explosive diarrhea is spreading in North Carolina, with nearly 1,000 cases already identified, according to the CDC.

The illness, called cyclosporiasis, is caused by the microscopic parasite Cyclospora cayetanensis. People typically become infected after consuming contaminated food or water. While the illness is usually not life-threatening, it can cause severe gastrointestinal symptoms that may last for weeks if left untreated.

The most common symptom is watery diarrhea, often described as frequent and explosive. Other symptoms can include stomach cramps, bloating, nausea, fatigue, loss of appetite, weight loss, vomiting, muscle aches, and a low-grade fever.

Symptoms usually begin about one week after exposure, although they can appear anywhere from two days to more than two weeks later. Without treatment, the illness can last from several days to more than a month, and symptoms may disappear before returning again.

Health experts say the parasite is most commonly spread through contaminated fresh produce or water, not from person to person. They recommend thoroughly washing fruits and vegetables, avoiding swallowing water while swimming, and contacting a healthcare provider if symptoms develop.

Officials continue monitoring the outbreak and encourage residents to practice good food safety to reduce their risk of infection.