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Clinical Observation
March 8, 2004

An Outbreak of Domestically Acquired Typhoid Fever in Queens, NY

Author Affiliations

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.

Arch Intern Med. 2004;164(5):565-567. doi:10.1001/archinte.164.5.565

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.