TY - JOUR
T1 - A multistate outbreak of infections caused by Yersinia enterocolitica transmitted by pasteurized milk
AU - Tacket, C. O.
AU - Narain, J. P.
AU - Sattin, Richard Warren
AU - Lofgren, J. P.
AU - Konigsberg, C.
AU - Rendtorff, R. C.
AU - Rausa, A.
AU - Davis, B. R.
AU - Cohen, M. L.
PY - 1984/3/8
Y1 - 1984/3/8
N2 - In June and July 1982, a large interstate outbreak of Yersinia enterocolitica infections caused by an unusual serotype occurred in Tennessee, Arkansas, and Mississippi. Eighty-six percent of cases had enteritis characterized by fever, abdominal pain, and diarrhea. In three separate case-control studies, drinking milk pasteurized by plant A was statistically associated with illness. In a survey of randomly chosen households, 8.3% of persons who recalled having drunk milk from plant A during the suspect period experienced a yersiniosislike illnes. Inspection of the plant and cultures of the available raw and pasteurized milk did not reveal the source or mechanism or contamination or a breach in normal pasteurizing technique. Although outbreaks of enteric disease caused by pasteurized milk are rare in the United States, the ability of Y enterocolitica to grow in milk at refrigeration temperatures makes pasteurized milk a possible vehicle for virulent Y enterocolitica. The extent to which milk is responsible for sporadic cases of yersiniosis is unknown.
AB - In June and July 1982, a large interstate outbreak of Yersinia enterocolitica infections caused by an unusual serotype occurred in Tennessee, Arkansas, and Mississippi. Eighty-six percent of cases had enteritis characterized by fever, abdominal pain, and diarrhea. In three separate case-control studies, drinking milk pasteurized by plant A was statistically associated with illness. In a survey of randomly chosen households, 8.3% of persons who recalled having drunk milk from plant A during the suspect period experienced a yersiniosislike illnes. Inspection of the plant and cultures of the available raw and pasteurized milk did not reveal the source or mechanism or contamination or a breach in normal pasteurizing technique. Although outbreaks of enteric disease caused by pasteurized milk are rare in the United States, the ability of Y enterocolitica to grow in milk at refrigeration temperatures makes pasteurized milk a possible vehicle for virulent Y enterocolitica. The extent to which milk is responsible for sporadic cases of yersiniosis is unknown.
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U2 - 10.1001/jama.251.4.483
DO - 10.1001/jama.251.4.483
M3 - Article
C2 - 6546313
SN - 0098-7484
VL - 251
SP - 483
EP - 486
JO - Journal of the American Medical Association
JF - Journal of the American Medical Association
IS - 4
ER -