Notwithstanding the definition of FP as causing GE, streptococcal sore throat with fever has been well documented to spread in this way. Usually, a food handler has a streptococcus group A in his or her throat, which may or may not be causing symptoms, and transfers this to a food that is then left in a warm environment for some time before consumption. Foods implicated include cheese, milk, eggs, and meat. The incubation period is 2448 h. To confirm a source, typing of strains is important, as is sound epidemiological evidence, because many people carry these streptococci in their throats.
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