Volume 4, Number 4—December 1998
To the Editor: The letter on paratyphoid fever by Kapil et al. (1) stated that an outbreak of enteric fever due to Salmonella paratyphi A has never been reported. A large (227 cases) outbreak of enteric fever secondary to S. paratyphi A occurred in the Arabian Gulf nation of Bahrain in 1987. The clinical and epidemiologic details of the outbreak were reported in a local medical society journal (2). Like the outbreak described by Kapil et al., the Bahraini outbreak was associated with sewage leaking into the water supply.
- Kapil A, Sood S, Reddaiah VP, Das B, Seth P. Paratyphoid fever due to Salmonella enterica serotype paratyphi A. [Lett]. Emerg Infect Dis. 1997;3:407.
- Al-Madani R. Paratyphoid Outbreak in children. J Bahrain Med Soc. 1989;1:60–3.