A case of cyclospora, an intestinal illness caused by a parasite, has been confirmed by a health provider in Miller County, according to the state Department of Health and Senior Services.
Three other cases of this illness have been reported in Missouri - one in Jackson County, Taney County and the Kansas City metro area. Across 18 states, 535 cases have been reported to the Centers for Disease Control and Prevention (CDC).
According to the CDC, the disease is spread by consuming food or water contaminated with the parasite, which is found in feces. Symptoms include diarrhea, loss of appetite, weight loss, bloating, increased gas, nausea and fatigue.
In a news release, the Missouri Department of Health and Senior Services said they are "currently working with the CDC and other agencies to investigate whether or not these cases are linked to cases in other states."
Outbreaks in Nebraska and Iowa have been linked to a salad mix, according to investigations within the states.
To prevent infection of cyclospora, the CDC recommends avoiding food or water that may have been contaminated with feces.