Vibrio Parahaemolyticus Enterocolitis in Bangladesh: Report of an Outbreak

James M. Hughes Bureau of Epidemiology, Center for Disease Control, Public Health Service, U.S. Department of Health, Welfare, and Education, Cholera Research Laboratory, Atlanta, Georgia 30333, Bangladesh

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John M. Boyce Bureau of Epidemiology, Center for Disease Control, Public Health Service, U.S. Department of Health, Welfare, and Education, Cholera Research Laboratory, Atlanta, Georgia 30333, Bangladesh

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A. R. M. A. Aleem Bureau of Epidemiology, Center for Disease Control, Public Health Service, U.S. Department of Health, Welfare, and Education, Cholera Research Laboratory, Atlanta, Georgia 30333, Bangladesh

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Joy G. Wells Bureau of Epidemiology, Center for Disease Control, Public Health Service, U.S. Department of Health, Welfare, and Education, Cholera Research Laboratory, Atlanta, Georgia 30333, Bangladesh

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A. S. M. Mizanur Rahman Bureau of Epidemiology, Center for Disease Control, Public Health Service, U.S. Department of Health, Welfare, and Education, Cholera Research Laboratory, Atlanta, Georgia 30333, Bangladesh

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George T. Curlin Bureau of Epidemiology, Center for Disease Control, Public Health Service, U.S. Department of Health, Welfare, and Education, Cholera Research Laboratory, Atlanta, Georgia 30333, Bangladesh

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In March 1974 eight men in Chandpur, Bangladesh, experienced an illness characterized by severe abdominal cramps, nausea, vomiting and bloody diarrhea with onset 20 min to 9 h (median 2.5 h) after eating one of two fish dishes at a restaurant. Rectal cultures from all eight grew Kanagawa-positive strains of Vibrio parahaemolyticus (serotype O3K5) that were negative in the Sereny test for invasiveness and the Y-1 adrenal cell and infant mouse assays for enterotoxin production. The short incubation, severity of abdominal cramps and grossly bloody stools distinguish this illness from that usually associated with V. parahaemolyticus infection in the United States.

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