Patrons at a Long Island, New York Mama Sbarro’s restaurant have been advised to get tested for typhoid fever, after an employee there was diagnosed with the disease. Authorities from the Nassau County Department of Health identified the infected worker only as a New York City man who worked without symptoms on March 14 and 15 and had some symptoms on March 16. The typhoid fever may have been passed to him from relatives visiting from overseas, authorities said, though they would not say from what country or when the relatives visited. The man was treated at a hospital and released last week and is now undergoing treatment with antibiotic drugs, authorities said; he will be monitored by the New York City Department of Health and Mental Hygiene for three months.
Typhoid fever, or Salmonella typhi, is a bacterial infection in the intestines contracted through eating food or drinking water contaminated by an infected person’s feces or urine, said Dr. Ken Steier, the patient safety officer at Nassau University Medical Center. Symptoms include fever, headache, constipation or diarrhea, rose-colored spots on the torso, and an enlarged spleen and liver and generally appear one to three weeks after exposure. Cases can be treated with specific antibiotics; the fatality rate for those who don’t get antibiotic treatment is about 20 percent, Steier said and less than one percent for those who do take antibiotics. Typhoid is rare in developed countries and there are about 400 cases of typhoid fever annually nationwide. Nassau County has seen between two and seven cases annually since 2003. About 75 percent of the time, the infected person contracted the disease while visiting a developing country, Steier said. (more…)