In June 1998, an increased number of persons with Salmonella blockley infec
tion were reported from one German state. Because S. blockley is extremely
uncommon in Germany, a case-control study was performed in order to find th
e source. A total of 13 patients met the case definition. Nine of 12 cases
and 2 of 21 controls with food consumption histories reported eating smoked
eel (OR 28.5; 95 % CI 3.9-235.3). The consumed eel came from four differen
t local smokeries, but could be traced back to fish farms in Italy. This ou
tbreak indicates that eel may be a vehicle for salmonella infection and tha
t the smoking process may not eliminate bacterial contamination from raw fi
sh.