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.