Three to 5 days after eating Thanksgiving dinner at arestaurant,112 people developed fever and gastroenteritis. All thefoodhad been consumed except for five “doggie” bags. Bacterialanalysis of the mixed contents of the bags (containingroast turkey,giblet gravy, and mashed potatoes) showed the samebacterium thatwas isolated from the patients. The gravy hadbeen prepared fromgiblets of 43 turkey that had been refrigeratedfor three days priorto preparation. The uncooked gibletswere ground in a blender andadded to a thickened hot stockmixture. The gravy was not reboiledand was stored at roomtemperature throughout Thanksgiving Day. Whatwas the sourceof illness? What was the most likely etiologic agent?Was this an infection or an intoxication?

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