title: An outbreak of acute enteritis due to Campylobacter fetus subspecies jejuni at a nursery school of Tokyo.
abstract: An outbreak of acute enteritis due to Campylobacter fetus subspecies jejuni involving a total of 35 out of 74 children occurred at a nursery school of Tokyo in January 1979 and lasted for 7 days. It was the first case of a community outbreak of the disease to be recognized in Japan. The major symptoms observed in the patients consisted of diarrhea (88%), fever (82%), abdominal pain (39%), and vomiting (6.1%). The rate of isolation of the organism from the patients was 39%. Sera of four patients showed elevated agglutinin titers against the organism ranging from 1:80 to 1:320. Although it is suggested that the outbreak was caused by a communal lunch or between-meal snacks prepared by and provided at the nursery school, the incriminated food, source and route of contamination could not be pinpointed.
mesh_terms: D000208:Acute Disease; D002169:Campylobacter Infections / Q000453:epidemiology* / Q000276:immunology; D002168:Campylobacter fetus / Q000302:isolation & purification; D002675:Child, Preschool; D004196:Disease Outbreaks / Q000453:epidemiology*; D004751:Enteritis / Q000453:epidemiology* / Q000209:etiology; D005243:Feces / Q000382:microbiology; D005260:Female; D005516:Food Microbiology; D006801:Humans; D007223:Infant; D008297:Male; D014041:Tokyo