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American Journal of Epidemiology Vol. 94, No. 2: 135-141
Copyright © 1971 by The Johns Hopkins University School of Hygiene and Public Health

other

FOODBORNE OUTBREAK OF GASTROENTERITIS POSSIBLY OF MULTIPLE BACTERIAL ETIOLOGY1

CHARLES M. JANEWAY, MARTIN GOLDFIELD2, RONALD ALTMAN, HOWARD ROSENFELD, CATHERINE JEDYNAK, DONALD MOULTON and WALTER LEZYNSKI

1Division of Laboratories and Epidemiology, New Jersey State Department of Health Trenton, N. J. Jersey City Division of Health, Jersey City, N J.; and the Center for Disease Control Atlanta, Ga

2Reprint requests to: Dr. Goldfield, Division of Laboratories and epidemiology, New Jersey Department of Health, Trenton, N. J. 08625.

Janeway, C. M., M. Goldfield (New Jersey State Dept. of Health, Trenton, N.J. 08625), R. Airman, H. Rosenfeld, C. Jedynak, D. Moulton and W. Lezynski.Foodborne outbreak of gastroenteritis possibly of multiple bacterial etiology. Amer J Epidem 94: 135–141, 1971.—A family Thanksgiving Day turkey dinner served to 18 persons resulted in a foodborne outbreak of gastroenteritis which had a 95% attack rate of illness and a 14% case-fatality rate. Salmonella enteritidis was isolated from 100% of those attending the dinner, as well as from a dog which died after allegedly eating the vomitus of one of the ill individuals. Cultures of left-over stuffing yielded Salmonella enteritidis in a concentration of over a billion salmonellae per gram. Turkey, gravy, peas and several environmental cultures from the home were also positive for Salmonella enteritidis. Although the severity of this outbreak and the short incubation period may reflect the very large inoculum of salmonellae, the possibility of a multiple etiology cannot be excluded, since Clostridium perfringens and Streptococcus faecalis were also isolated in high concentration from food items served. Sufficient cooking of the stuffed turkey probably would have prevented this outbreak.

Clostridium perfringens; food poisoning; gastroenteritis; Salmonella enteritidis; Streptococcus faecalis


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