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James Yoon, DO; Sorana Segal-Maurer, MD; James J. Rahal, MD

Arch Intern Med. 2004;164:565-567.

In the summer of 2000, an outbreak of endemic typhoid fever involved 6 people in Queens, NY, and a seventh person in Manhattan, NY. An investigation by the New York City Department of Health traced the likely source to an immigrant employee working at a local restaurant. The clinical presentations of 4 cases seen at New York Hospital Queens, Flushing, a 500-bed hospital, mimicked viral hepatitis or gastroenteritis. We report the clinical features of these 4 cases and review endemic typhoid fever, a diagnosis not likely to be considered in the United States absent a history of recent international travel.

From the Infectious Disease Section, Department of Medicine, New York Hospital Queens, Flushing, NY (Drs Yoon, Segal-Maurer, and Rahal), and Weill College of Medicine, Cornell University, New York, NY (Drs Segal-Maurer and Rahal). The authors have no relevant financial interest in this article.