Salmonella enterica Serovar Agbeni, British Columbia, Canada, 2011

metallo-β-lactamase in a multidrug-resistant Escherichia coli ST648 isolate recovered from a patient in the United NDM-4 metallo-β-lactamase with increased carbapenemase activity from Escherichia coli.semination of an NDM-2–producing Aci-netobacter baumannii clone in an Israeli rehabilitation center.ciation of the emerging carbapenemase NDM-1 with a bleomycin resistance protein in Enterobacteriaceae and Acineto-bacter baumannii. To the Editor: Infection with Salmonella enterica serovar Agbeni is rare. In Canada, it was reported 8 times during 2000–2010 and never in the province of British Columbia (2011 population 4.5 million) (Public Health Agency of Canada, unpub. data). In June 2011, an outbreak of S. enterica ser. Agbeni affecting 8 persons was identifi ed in British Columbia; pulsed-fi eld gel electrophoresis patterns for all isolates were identical. Although no specifi c source was identifi ed, 2 features were noted: 1) diagnosis through urine specimens for 3 of 8 persons and 2) a longer than typical incubation period for Salmonella spp. infection. In British Columbia, public health authorities interview all reported Salmonella spp.–infected persons by using a standard questionnaire (www.bccdc.ca/dis-cond/CDSurveillanceForms) to collect information about potential exposures during the 3 days before date of illness onset. Seven of the ill persons in British Columbia had attended the same wedding on May 14, 2011, which was outside the 3-day period about which they were asked. The person with the earliest reported case (May 16) was not associated with the wedding or with the other ill persons. We reviewed wedding food sources and preparation. The 7 persons with wedding-associated illness were reinterviewed by using a menu-specifi c questionnaire; no obvious food source was implicated. The fi rst wedding guest to be reported with enteric symptoms was visiting from outside British Columbia and had assisted with food preparation. In April and May 2011, fi ve persons from the same jurisdiction outside British Columbia in which this wedding guest resided were identifi ed with S. enterica ser. Agbeni infection; isolates from these persons had the same pulsed-fi eld gel electrophoresis pattern as those in British Columbia. Also, the ill person who was not associated with the wedding had traveled to that same jurisdiction before onset of symptoms. The original source of infection was probably outside of British Columbia. Average age of the 8 ill persons was 52.8 years (range 21–82 years). Six were men. One person reported hospital admission. No underlying conditions were documented in any of the 8 ill persons. Culture results of urine …