Outbreak of Foodborne Botulism in an Immigrant Community: Overcoming Delayed Disease Recognition, Ambiguous Epidemiologic Links, and Cultural Barriers to Identify the Cause

Academic Article


  • We describe a botulism outbreak involving 4 Middle Eastern men complicated by delayed diagnosis, ambiguous epidemiologic links among patients, and illness onset dates inconsistent with a point-source exposure. Homemade turshi, a fermented vegetable dish, was the likely cause. Patients ate turshi at 2 locations on different days over 1 month.
  • Authors

    Published In

    Digital Object Identifier (doi)

    Author List

  • Harvey RR; Cooper R; Bennett S; Richardson M; Duke D; Stoughton C; Smalligan R; Gaul L; Drenzek C; Griffin PM
  • Start Page

  • S82
  • End Page

  • S84
  • Volume

  • 66