“…Usually, most patients remain asymptomatic, but when signs and symptoms occur and acute disease is established, manifestations happen normally in travelers and in outbreaks, and they are characterized by diarrhea, nausea, anorexia, dehydration, latulence, eructation, distention, abdominal cramping, and weight loss. Contradictorily, fever and vomiting are uncommon [7,13,20].…”