Streptococcal pharyngitis is a common disease of epidemic nature, usua
lly transmitted by saliva droplets. We present an epidemiologic analys
is of an outbreak of streplococcal pharyngitis in a military unit invo
lving 75 soldiers. The causing organism was Streptococcus pyogenes (gr
oup A beta hemolytic Streptococcus, T28 M56), which was isolated from
53 affected individuals. The source of the epidemic was probably an ar
my cook. The infection was transferred by a cabbage salad to individua
ls who became symptomatic within 24-48 h. This epidemic is a reminder
of an exceptional route of streptococcal dissemination and one of the
largest outbreaks of foodborne streptococcal pharyngitis documented.