title: Analysis ofKudoa septempunctataas a cause of foodborne illness and its associated differential diagnosis.
abstract: OBJECTIVE
  Recentlykudoa septempuctatain olive flounders is suggested as a cause of food poisoning, however whetherkudoa septempuctatacan affect human gastrointestinal systems is controversial and its pathogenecity remains unclear. In view of the field epidemiology, food poisonings caused bykudoa septempuctatashould be distinguished from those caused byStaphylococcus aureusandbacillus cereus.
  
  
  METHODS
  The statistics of food poisoning investigations published by Korea Centers for Disease Control and Prevention in 2013-2015 were reviewed. The characteristics ofkudoa septempuctatafood poisoning reported by Korea Centers for Disease Control and Prevention were reviewed. Information regarding clinical symptoms or epidemiology was extracted.
  
  
  RESULTS
  Total elevenkudoa septempuctatafood poisoning cases were analyzed. Food poisonings caused bykudoa septempuctata,Staphylococcus aureusandbacillus cereushave clinical and epidemiological similarities. Forty five percent of food poisoning outbreaks occurred in Korea was concluded as unknown. The food poisoning caused byStaphylococcus aureusandbacillus cereusaccounted for 4.5% (50/1,092) of all food poisoning outbreaks in Korea between 2013 and 2015.
  
  
  CONCLUSIONS
  This study suggests the possibilities of misdiagnosis in the investigations of food poisoning byStaphylococcus aureusand bacillus cereus withkudoa septempuctata.
authors.affiliation: Jeju Special Self-Governing Provincial Office, Jeju, Korea.
authors.forename: Sung Uk
authors.identifier: 0000-0003-2213-706X
authors.initials: SU
authors.lastname: Lee
mesh_terms: D000818:Animals; D001409:Bacillus cereus / Q000472:pathogenicity; D003937:Diagnosis, Differential; D004196:Disease Outbreaks / Q000706:statistics & numerical data*; D005432:Flounder / Q000469:parasitology; D005517:Foodborne Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D055764:Myxozoa / Q000472:pathogenicity*; D056910:Republic of Korea / Q000453:epidemiology; D013211:Staphylococcus aureus / Q000472:pathogenicity
keywords: Bacillus cereus; Food parasitology; Korea; Myxozoa; Staphylococcus aureus; kudoa septempunctata