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» Articles » PMID: 1400998

Outbreak of Recurrent Abdominal Cramps Associated with Arcobacter Butzleri in an Italian School

Overview
Journal J Clin Microbiol
Specialty Microbiology
Date 1992 Sep 1
PMID 1400998
Citations 46
Authors
P Vandamme
P Pugina
G Benzi
R Van Etterijck
L Vlaes
K Kersters
J P Butzler
H Lior
S Lauwers
Affiliations
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Abstract

In the autumn of 1983, an outbreak of recurrent abdominal cramps occurred in a nursery and primary school in the Rovigo area in Italy. None of the 10 affected children had diarrhea. An atypical Campylobacter-like organism was isolated from feces in all cases. Conventional enteropathogens were searched for but not detected. The Campylobacter-like organism was identified as Arcobacter butzleri by using sodium dodecyl sulfate-polyacrylamide gel electrophoresis of whole-cell proteins and cellular fatty acid analysis. Its identity was confirmed by DNA-DNA hybridizations versus Arcobacter reference strains. All of the preserved outbreak strains have identical protein profiles and phenotypic characteristics and belong to serogroup 1 of the Lior serotyping scheme on the basis of slide agglutination of crude and absorbed antisera of A. butzleri reference strains versus heat-labile antigens of live bacteria. These data point to an epidemiological relationship. The successive timing of the cases suggests person-to-person transmission.

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