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Direct milk excretion of Campylobacter jejuni in a dairy cow causing cases of human enteritis

Published online by Cambridge University Press:  15 May 2009

K. E. Orr
Affiliation:
Public Health Laboratory, Newcastle General Hospital, Westgate Road, Newcastle upon Tyne NE4 6BE
N. F. Lightfoot
Affiliation:
Public Health Laboratory, Newcastle General Hospital, Westgate Road, Newcastle upon Tyne NE4 6BE
P. R. Sisson
Affiliation:
Public Health Laboratory, Newcastle General Hospital, Westgate Road, Newcastle upon Tyne NE4 6BE
B. A. Harkis
Affiliation:
Northumberland Health Authority, Morpeth, Northumberland NE61 2PD
J. L. Tweddle
Affiliation:
Alnwick District Council, Allerburn House, Denwick Lane, Alnwick NE66 1YY
P. Boyd
Affiliation:
Public Health Laboratory, Newcastle General Hospital, Westgate Road, Newcastle upon Tyne NE4 6BE
A. Carroll
Affiliation:
Public Health Laboratory, Newcastle General Hospital, Westgate Road, Newcastle upon Tyne NE4 6BE
C. J. Jackson
Affiliation:
Public Health Laboratory, Withington Hospital, Manchester M20 8LR
D. R. A. Wareing
Affiliation:
Public Health Laboratory, Royal Preston Hospital, Sharoe Green Lane, Preston PR2 4HG
R. Freeman
Affiliation:
Microbiology Department, Medical School, Framlington Place, Newcastle Upon Tyne NE2 4HH
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Summary

Consumption of milk contaminated with Campylobacter jejuni has been described as a cause of human enteritis. Although faecal contamination of milk with the organism has frequently been described, direct milk excretion of Campylobacter jejuni into milk has rarely been linked with cases of human infection. We describe the investigations undertaken following the isolation of Campylobacter jejuni from samples of unpasteurized milk prior to retail. Results of epidemiological investigations including typing of Campylobacter jejuni isolates using pyrolysis mass spectrometry, Penner and Lior serotyping, biotyping, phage typing and restriction fragment length polymorphism analysis provided convincing evidence implicating direct milk excretion of Campylobacter jejuni by one asymptomatic dairy cow as the source of the milk contamination and the cause of local cases of human enteritis.

Type
Special Article
Copyright
Copyright © Cambridge University Press 1995

References

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