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American Journal of Epidemiology Vol. 114, No. 2: 293-298
Copyright © 1981 by The Johns Hopkins University School of Hygiene and Public Health

research-article

NON-O GROUP 1 VIBRIO CHOLERAE GASTROENTERITIS ASSOCIATED WITH EATING RAW OYSTERS

RICKEY WILSON1,2, SPENCER LIEB2, ANN ROBERTS2, SCOTT STRYKER2, HENRY JANOWSKI2, ROBERT GUNN2, BETTY DAVIS3, CONRADINE F. RIDDLE3, TIMOTHY BARRETT1, J. GLENN MORRIS, JR.1 and PAUL A. BLAKE1

1Bacterial Diseases Division, Bureau of Epidemiology, Centers for Disease Control Atlanta, GA 30333
2Department of Health and Rehabilitative Services Tallahassee, FL.
3Bacteriology Division, Bureau of Laboratories, Centers for Disease Control Atlanta

1Reprint requests to Dr. Wilson

A cluster of five cases of non-O group 1 (non-01) V. cholerae gastroenteritis occurred in one Florida locality during November 1979. Clinical findings included nausea, vomiting, and abdominal cramping in all affected persons; two had bloody diarrhea. All five persons gave a history of eating raw oysters within four days of onset of illness. A case-control study statistically associated the eating of raw oysters with development of illness (p = 0.0008); this finding was confirmed by a retrospective cohort study of patients hospi talized for diarrhea (p = 0.0001). Non-O1 V. cholerae organisms were isolated from oysters and water samples taken from areas where ill persons had obtained their oysters. In at least one instance the same serotype was isolated from a patient's stool specimen and from the water where the patient had obtained oysters. Non-O1 V. cholerae infection must be considered in the differential diagnosis of shellfish-associated gastroenteritis.

gastroenteritis; oysters; water pollution; Vibrio cholerae; water pollution


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