CDC counts 598, but counts Texas at 250 while Texas counts 269.

CDC Cyclospora Update:  Data are current as of 5pm EDT, 8/20/13. Data are preliminary and subject to change. A total of 598 cases of Cyclospora infection have been reported from 22 states and New York City. The number of cases identified in each area is as follows: Texas (250), Iowa (155), Nebraska (86), Florida (31)¶, Wisconsin (16), Illinois (11)†, Arkansas (10)†, Georgia (5), Missouri (5)†, New York City (5)†, Kansas (4)‡, Louisiana (3)‡, Connecticut (2), Minnesota (2), New Jersey (2), New York (2)†, Ohio (2), Virginia (2), California (1)†, New Hampshire (1), South Dakota (1), Tennessee (1), and Wyoming (1)†.

† Includes one case that may have been acquired out of state.

‡ Includes two cases that may have been out of state.

¶ May include one travel-associated case.

Cyclospora Outbreak in Texas:  A total of 269 cases of Cyclospora infection have been reported in Texas in 2013 with the vast majority having onsets in June and July. Most Texas cases are reported from the Dallas/Fort Worth area. DSHS is investigating the cases to identify possible common exposures and to determine whether they are linked to an outbreak in other states.  The following counties have reported Cyclospora infection: Austin, Bell, Brazoria, Cameron, Collin, Coryell, Dallas, Denton, El Paso, Ellis, Fort Bend, Galveston, Guadalupe, Harden, Harris, Henderson, Hidalgo, Hood, Hunt, Johnson, Kaufman, Kendall, Matagorda, Montague, Parker, Potter, Smith, Tarrant, Tom Green, Travis, Van Zandt, Victoria, Walker, Wichita, Williamson, Wise.