Kühn H, Gericke B, Klepp M, Fellmann G, Rabsch W
Robert-Koch-Institut, Bereich Wernigerode des Bundesgesundheitsamtes.
Gesundheitswesen. 1994 Apr;56(4):211-4.
In the period from 2-10 August 1991 an outbreak caused by S. paratyphi B occurred in five rural areas of the district of Leipzig. Eleven patients and one excreter were involved, and mild forms of disease were observed in most cases. In three of the patients a mixed infection with S. litchfield was diagnosed. Moreover at the same time 21 cases of enteritis caused by S. litchfield and three excreters associated with this serovar were registered in these five rural areas. Both infections with S. paratyphi B and S. litchfield occurred 1-3 days after consumption of smoked halibut. The fish smoked in a smokehouse in the Grimma rural area was delivered to the shops every day. The inspection of the smokehouse and the dispatch department provided no signs of contaminations. In the smoked fish samples investigated subsequently, Salmonella were no longer detectable. The results of typing confirm the identity of all S. paratyphi B strains isolated. The possibilities of contamination of the smoked halibut are discussed. This study emphasises the possible transmission of salmonella by way of the food fish. On that occasion also a non-frequent serovar such as S. paratyphi B can be isolated and a light course of disease as e.g. febrile gastroenteritis can be observed and may attain epidemiological significance.
1991年8月2日至10日期间,莱比锡区的五个农村地区发生了由副伤寒乙杆菌引起的疫情。涉及11名患者和1名排泄物携带者,大多数病例表现为轻症。3名患者被诊断为副伤寒乙杆菌与利奇菲尔德沙门氏菌混合感染。此外,同期在这五个农村地区登记了21例由利奇菲尔德沙门氏菌引起的肠炎病例以及3名与该血清型相关的排泄物携带者。食用烟熏大比目鱼1至3天后出现了副伤寒乙杆菌和利奇菲尔德沙门氏菌感染。格林马农村地区一家烟熏房熏制的鱼每天供应给商店。对烟熏房和发货部门的检查未发现污染迹象。在随后调查的烟熏鱼样本中,已检测不到沙门氏菌。分型结果证实了所有分离出的副伤寒乙杆菌菌株的一致性。讨论了烟熏大比目鱼的污染可能性。本研究强调了沙门氏菌通过食用鱼传播的可能性。在这种情况下,也可能分离出像副伤寒乙杆菌这样不常见的血清型,并且可以观察到如发热性肠胃炎这样的轻症病程,且可能具有流行病学意义。