title: Clostridium perfringens infections initially attributed to norovirus, North Carolina, 2010.
abstract: We investigated an outbreak initially attributed to norovirus; however, Clostridium perfringens toxicoinfection was subsequently confirmed. C. perfringens is an underrecognized but frequently observed cause of food-borne disease outbreaks. This investigation illustrates the importance of considering epidemiologic and laboratory data together when evaluating potential etiologic agents that might require unique control measures.
authors.affiliation: Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. ndailey@jhsph.edu
authors.forename: Natalie J M
authors.initials: NJ
authors.lastname: Dailey
authors.forename: Nicole
authors.initials: N
authors.lastname: Lee
authors.forename: Aaron T
authors.initials: AT
authors.lastname: Fleischauer
authors.forename: Zack S
authors.initials: ZS
authors.lastname: Moore
authors.forename: Edie
authors.initials: E
authors.lastname: Alfano-Sobsey
authors.forename: Frances
authors.initials: F
authors.lastname: Breedlove
authors.forename: Andre
authors.initials: A
authors.lastname: Pierce
authors.forename: Sue
authors.initials: S
authors.lastname: Ledford
authors.forename: Shermalyn
authors.initials: S
authors.lastname: Greene
authors.forename: Gerardo A
authors.initials: GA
authors.lastname: Gómez
authors.forename: Deborah F
authors.initials: DF
authors.lastname: Talkington
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Sotir
authors.forename: Aron J
authors.initials: AJ
authors.lastname: Hall
authors.forename: David
authors.initials: D
authors.lastname: Sweat
mesh_terms: D000208:Acute Disease; D017250:Caliciviridae Infections / Q000175:diagnosis / Q000453:epidemiology; D003015:Clostridium Infections / Q000175:diagnosis / Q000453:epidemiology* / Q000382:microbiology; D003016:Clostridium perfringens / Q000302:isolation & purification*; D003937:Diagnosis, Differential; D004196:Disease Outbreaks; D005243:Feces / Q000382:microbiology / Q000821:virology; D005517:Foodborne Diseases / Q000175:diagnosis / Q000453:epidemiology* / Q000382:microbiology / Q000821:virology; D005759:Gastroenteritis / Q000175:diagnosis / Q000453:epidemiology / Q000382:microbiology / Q000821:virology; D006801:Humans; D029322:Norovirus / Q000302:isolation & purification*; D009657:North Carolina / Q000453:epidemiology; D012189:Retrospective Studies