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Outbreak of Foodborne Botulism in an Immigrant Community: Overcoming Delayed Disease Recognition, Ambiguous Epidemiologic Links, and Cultural Barriers to Identify the Cause
Author(s) -
R. Reid Harvey,
R. Lyle Cooper,
Sarah D. Bennett,
Matt Richardson,
Deree Duke,
Casie Stoughton,
Roger D. Smalligan,
Linda Gaul,
Cherie Drenzek,
Patricia M. Griffin,
Aimee Geissler,
Agam K. Rao
Publication year - 2017
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cix817
Subject(s) - botulism , outbreak , medicine , immigration , environmental health , disease , epidemiology , virology , pathology , geography , microbiology and biotechnology , biology , archaeology
We describe a botulism outbreak involving 4 Middle Eastern men complicated by delayed diagnosis, ambiguous epidemiologic links among patients, and illness onset dates inconsistent with a point-source exposure. Homemade turshi, a fermented vegetable dish, was the likely cause. Patients ate turshi at 2 locations on different days over 1 month.

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