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ARTICLE |

Food-Borne Streptococcal Pharyngitis in a Hospital Pediatrics Clinic FREE

Michael D. Decker, MD, MPH; Gail B. Lavely, RN; Robert H. Hutcheson, Jr, MD, MPH; William Schaffner, MD
[+] Author Affiliations

Reprint requests to Division of Field Services, Epidemiology Program Office, Centers for Disease Control, Atlanta, GA 30333 (Dr Decker).


JAMA. 1985;253(5):679-681. doi:10.1001/jama.1985.03350290085031
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After a potluck luncheon, more than half the staff of a hospital pediatrics clinic became ill. Group A Streptococcus (M precipitin, nontypable; T agglutination type, 8/25; and serum opacity reaction, positive) was isolated from 12 of the 20 ill persons. Food-consumption analysis implicated a rice dressing as the vehicle of transmission. The dressing was prepared by a clinic employee in whom pharyngitis had developed three weeks before the luncheon. This is an unusual outbreak in that the implicated food product was not institutionally or commercially prepared and was not preponderantly composed of milk, eggs, or meat.

(JAMA 1985;253:679-681)

REFERENCES

Farber RE, Korff FA:  Foodborne epidemic of group A beta hemolytic Streptococcus . Public Health Rep 1958;;73:203-209.
Hill HR, Caldwell GG, Wilson E, et al:  Epidemic of pharyngitis due to streptococci of Lancefield group A . Lancet 1969;;2:371-374.
McCormick JB, Kay D, Hayes P, et al:  Epidemic streptococcal sore throat following a community picnic . JAMA 1976;;236:1039-1041.
Ryder RW, Lawrence DN, Nitzkin JL, et al:  An evaluation of penicillin prophylaxis during an outbreak of foodborne streptococcal pharyngitis . Am J Epidemiol 1977;;106:139-144.
Cohen AD, Rouach TM, Dinari G:  Food-borne epidemic of streptococcal pharyngitis at an Israeli military training base . Milit Med 1982;;147:318-319.
Commission on Acute Respiratory Diseases:  A study of a food-borne epidemic of tonsillitis and pharyngitis due to β-hemolytic Streptococcus, type 5 . Bull Johns Hopkins Hosp 1945;; 77:143-210.
Scamman CL, Lombard HL, Beckler EA, et al:  Scarlet fever outbreak due to infected food . Am J Public Health 1927;;17:311-316.
Cary WE, Dack GM, Myers E:  An institutional outbreak of food poisoning possibly due to a Streptococcus . Proc Soc Exp Biol Med 1931;; 29:214-215.
Getting VA, Wheeler SM, Foley FE:  A food-borne Streptococcus outbreak . Am J Public Health 1943;;33:1217-1223.
Hill HR, Zimmerman RA, Reid GVK, et al:  Food-borne epidemic of streptococcal pharyngitis at the United States Air Force Academy . N Engl J Med 1969;;280:917-921.
Elsea WR, Mosher WE, Lennon RG, et al:  An epidemic of food-associated pharyngitis and diarrhea . Arch Environ Health 1971;;23:48-56.
Stryker WS, Fraser DW, Facklam RR:  Foodborne outbreak of group G streptococcal pharyngitis . Am J Epidemiol 1982;;116:533-540.

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Farber RE, Korff FA:  Foodborne epidemic of group A beta hemolytic Streptococcus . Public Health Rep 1958;;73:203-209.
Hill HR, Caldwell GG, Wilson E, et al:  Epidemic of pharyngitis due to streptococci of Lancefield group A . Lancet 1969;;2:371-374.
McCormick JB, Kay D, Hayes P, et al:  Epidemic streptococcal sore throat following a community picnic . JAMA 1976;;236:1039-1041.
Ryder RW, Lawrence DN, Nitzkin JL, et al:  An evaluation of penicillin prophylaxis during an outbreak of foodborne streptococcal pharyngitis . Am J Epidemiol 1977;;106:139-144.
Cohen AD, Rouach TM, Dinari G:  Food-borne epidemic of streptococcal pharyngitis at an Israeli military training base . Milit Med 1982;;147:318-319.
Commission on Acute Respiratory Diseases:  A study of a food-borne epidemic of tonsillitis and pharyngitis due to β-hemolytic Streptococcus, type 5 . Bull Johns Hopkins Hosp 1945;; 77:143-210.
Scamman CL, Lombard HL, Beckler EA, et al:  Scarlet fever outbreak due to infected food . Am J Public Health 1927;;17:311-316.
Cary WE, Dack GM, Myers E:  An institutional outbreak of food poisoning possibly due to a Streptococcus . Proc Soc Exp Biol Med 1931;; 29:214-215.
Getting VA, Wheeler SM, Foley FE:  A food-borne Streptococcus outbreak . Am J Public Health 1943;;33:1217-1223.
Hill HR, Zimmerman RA, Reid GVK, et al:  Food-borne epidemic of streptococcal pharyngitis at the United States Air Force Academy . N Engl J Med 1969;;280:917-921.
Elsea WR, Mosher WE, Lennon RG, et al:  An epidemic of food-associated pharyngitis and diarrhea . Arch Environ Health 1971;;23:48-56.
Stryker WS, Fraser DW, Facklam RR:  Foodborne outbreak of group G streptococcal pharyngitis . Am J Epidemiol 1982;;116:533-540.
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