Version 2001 (reference 14) |
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Clinical picture: |
Clinical picture compatible with salmonellosis, characterized by diarrhea, abdominal pain, malaise, vomiting, fever. Salmonella can also cause infections outside the intestinal tract (for example: arthritis, endocarditis, pyelonephritis, septicaemia). |
Laboratory diagnosis: |
Isolation (culture) of pathogen from stool or other clinical material (e.g. blood, urine). The identification of serogroup has to be attempted. |
Version 2004 (reference 13) |
Clinical picture |
• Clinical picture of acute salmonellosis, defined as at least one of the following four symptoms: diarrhea* |
• cramp-like abdominal pain |
• vomiting |
• fever* |
additional information: |
Samonella can also cause generalized (septicemia) and localized infections outside the intestinal tract (for example: arthritis, endocarditis, pyelonephritis). These should in case of an acute infection also be reported. The reactive arthritis, which may also be caused by Salmonella infection, is not to be reported. |
Laboratory diagnosed |
Positive finding using the following method: |
• Direct detection of pathogen: isolation of pathogen (culture) |
Additional information: Results of identified serogroup and lysotype should also be reported. |
Epidemiological confirmation |
Epidemiological confirmation, defined as at least one of the following three constellations while taking into account the incubation period (about 6 to 72 hours): |
• Epidemiological link to another laboratory-diagnosed human infection through |
○ Person-to-person transmission OR |
○ Same source of exposure (e.g. animal contact*, food*) |
• Consumption of food (including drinking water), for which Salmonella spp. was laboratory-detected in non-consumed food. |
• Contact to animal (e.g. poultry) with a laboratory-detected infection, or contact to its secretions or consumption of its products (e.g. eggs). |
* terms marked with an asterix are defined in more detail in a glossary of the case definitions |