[Large-scale, acute, bacterial gastroenteritis caused by the enterotoxin of Staphylococcus aureus after a barbecue].
EPIDEMIOLOGICAL OBSERVATION: On a warm day, during a barbecue that was attended by over 100 guests, a large number became rapidly ill with signs of acute gastroenteritis within a few hours after eating the prepared food. The characteristic symptoms were nausea, vomiting, syncope and in some cases in a later stage, diarrhoea. Sixty patients were transferred to hospitals.


METHODS
Investigation revealed that the cause of this outbreak of gastroenteritis was an enterotoxin-A-producing strain of Staphylococcus aureus in a noodle dish. Both the food residues and the faeces from patients contained genotypically identical strains of S. aureus. They all had the gene for the gastroenteritis-inducing enterotoxin A from S. aureus.


CONCLUSIONS
This case shows that the timely involvement of the different health authorities responsible for intervening in explosions of food poisoning is crucial for the clarification and treatment of such large-scale outbreaks. In the investigation of this outbreak, the municipal health authority co-operated with regional laboratories and the Food and Consumer Product Safety Authority/Inspectorate for Health Protection and Veterinary Public Health.
de Jong
J Th
JT
GGD Amstelland-de Meerlanden, afd. Infectieziekten, Fokkerlaan 50, 1185 JC Amstelveen.
ten Brinke
J M
JM
van Ouwerkerk
I M S
IM
Siebbeles
M F
MF
Fitz-James
I A
IA
in 't Veld
P H
PH
D000208:Acute Disease; D004196:Disease Outbreaks; D004768:Enterotoxins / Q000096:biosynthesis* / Q000235:genetics; D005516:Food Microbiology; D005759:Gastroenteritis / Q000453:epidemiology; D006801:Humans; D009426:Netherlands / Q000453:epidemiology; D013202:Staphylococcal Food Poisoning / Q000453:epidemiology* / Q000209:etiology; D013211:Staphylococcus aureus / Q000235:genetics / Q000302:isolation & purification* / Q000378:metabolism
D004768:Enterotoxins; C026066:enterotoxin A, Staphylococcal