JCM Figure table search 04
Home Help [Feedback] [For Subscribers] [Archive] [Search] [Contents]
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowReprints and Permissions
Right arrow Copyright Information
Right arrow Books from ASM Press
Right arrow MicrobeWorld
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Taylor, J. P.
Right arrow Articles by Barth, S. S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Taylor, J. P.
Right arrow Articles by Barth, S. S.

Journal of Clinical Microbiology, October 1998, p. 2861-2864, Vol. 36, No. 10
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.

Prospective Investigation of Cryptic Outbreaks of Salmonella agona Salmonellosis

Jeffery P. Taylor,1 Ben J. Barnett,2,dagger Lemuel del Rosario,3 Karen Williams,3 and Suzanne S. Barth3,*

Infectious Disease Epidemiology and Surveillance Division1 and Bureau of Laboratories,3 Texas Department of Health, Austin, Texas 78756, and Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta, Georgia 303332

Received 16 March 1998/Returned for modification 13 May 1998/Accepted 1 July 1998

The number of Salmonella agona isolates reported annually in Texas from 1992 through 1994 ranged from 14 to 21. An increase in incidence of S. agona infections was noted in the fall of 1995. Pulsed-field gel electrophoresis (PFGE) analysis identified prospectively two possible cryptic outbreaks caused by an indistinguishable strain which was isolated from 18 of 59 patients who were culture positive from March through December 1995. These 18 patients had onset of illness from 20 May through 3 October 1995. Eight individuals resided in the Austin area, eight resided in San Antonio, and two resided in Houston; none had attended a common social gathering or owned common pets. Six patients in San Antonio and one patient from Houston recalled eating food items from the same Mexican food restaurant in San Antonio. S. agona organisms with the same PFGE profile were isolated from machacado, an air-dried, raw beef product prepared at the restaurant. The machacado had been shredded in a kitchen blender which was the probable source for cross-contamination of other food items. Five patients in Austin reported eating at a popular Mexican food restaurant in Austin. Improperly prepared machacado also may have been served at the Austin restaurant; however, sufficient quantities of machacado were not available for analysis. PFGE was essential in determining whether the cases constituted outbreaks and was invaluable in guiding the epidemiological investigation.


* Corresponding author. Mailing address: Microbiological Services Division, Texas Department of Health Laboratory, 1100 West 49 Street, Austin, TX 78756. Phone: (512) 458-7214. Fax: (512) 458-7452. E-mail: Suzanne.Barth{at}tdh.state.tx.us.

dagger Present address: Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA 30303.


Journal of Clinical Microbiology, October 1998, p. 2861-2864, Vol. 36, No. 10
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.



This article has been cited by other articles:




Home Help [Feedback] [For Subscribers] [Archive] [Search] [Contents]
Antimicrob. Agents Chemother. Clin. Microbiol. Rev.
Clin. Vaccine Immunol. ALL ASM JOURNALS

Copyright © 1998 by the American Society for Microbiology. All rights reserved.