RT Book, Section A1 Weston, Benjamin A2 Cydulka, Rita K. A2 Fitch, Michael T. A2 Joing, Scott A. A2 Wang, Vincent J. A2 Cline, David M. A2 Ma, O. John SR Print(0) ID 1143142443 T1 Foodborne and Waterborne Diseases T2 Tintinalli's Emergency Medicine Manual, 8e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9780071837026 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1143142443 RD 2024/04/25 AB Foodborne disease may occur after consumption of food contaminated with bacteria, viruses, parasites, chemicals, or biotoxins. Viruses such as norovirus, astrovirus, rotavirus, and enteric adenovirus are the most common sources, with norovirus causing over half of all cases. Bacterial disease is often more severe and includes nontyphoidal Salmonella, which is the most common cause for hospitalization and associated death in the United States. Other bacterial causes may include Clostridium perfringens, Campylobacter spp., Listeria monocytogenes, Shigella spp., Shiga toxin-producing Escherichia coli, and Staphylococcus aureus. Parasitic causes include Giardia lamblia, Toxoplasma gondii, Entamoeba histolytica, and Cryptosporidium. In addition, patients may experience symptoms of scombroid or ciguatera poisoning after eating some types of fish associated with these toxin-induced syndromes.