One case of Cyclospora has been identified in B.C. and two in Alberta as the Public Health Agency of Canada tracks an outbreak that has now spread across four provinces and sickened 51 people since May.

A source of the outbreak has not been identified, but public health officials and the Canadian Food Inspection Agency are eyeing imported fresh produce, possibly from Mexico, Cuba, Dominican Republic, Guatemala, Peru, India or Southeast Asia.

The Cyclospora parasite is common in those countries and previous outbreaks have been linked to imported fresh produce, such as pre-packaged salad mix, basil, cilantro, raspberries, blackberries, mesclun lettuce and snow and snap peas.

The parasite causes an intestinal illness called cyclosporiasis that has symptoms ranging from mild to severe and can include everything from diarrhea and abdominal bloating to mild fever, nausea and weight loss.