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Gastrointestinal disease and botulinic toxin

Miia Lindström, Jan Myllykoski, Seppo Sivelä, Hannu Korkeala
The use of plastic-wrapped and nonacidified silage as cattle feed has led to an increasing number of botulism outbreaks due to Clostridium botulinum Groups I-III in dairy cattle. The involvement of Groups I and II organisms in cattle botulism has raised concern of human botulism risk associated with the consumption of dairy products. Multiplication of C. botulinum in silage and in the gastrointestinal tract of cattle with botulism has been reported, thus contamination of the farm environment and raw milk, and further transmission through the dairy chain, are possible...
April 2010: Critical Reviews in Food Science and Nutrition
Gerson Ricardo de Souza Domingues, Joaquim Prado P Moraes-Filho
CONTEXT: Non-cardiac chest pain or functional chest pain is a syndrome with high prevalence in occidental world. Findings on 15%-30% of coronary angiograms performed in patients with chest pain are normal. Causes significant impact in quality of life of patients and is associated with increased use of the health care facilities. DATA SOURCES: To this review the following data base were accessed: Medline, the Cochrane Library, LILACS. The limit was the last 5 years publications and were selected relevant original articles, reviews, consensus, guidelines and meta-analysis...
July 2009: Arquivos de Gastroenterologia
Miia Lindström, Sebastian Hielm, Mari Nevas, Seppo Tuisku, Hannu Korkeala
Whitefish eggs were confirmed by pulsed-field gel electrophoresis to cause type E foodborne botulism in a 54-year-old patient in Finland. Botulinum neurotoxin and/or nonproteolytic Clostridium botulinum type E organisms were detected in fecal and gastric samples from the patient and in suspected whitefish eggs. Apart from C. botulinum type E, proteolytic type B organisms were detected in the patient's gastric content. This was considered to be insignificant with respect to the clinical disease, suggesting botulinal spores to be occasionally present in the human gastrointestinal tract without any apparent clinical significance...
2004: Foodborne Pathogens and Disease
J T Weber, R G Hibbs, A Darwish, B Mishu, A L Corwin, M Rakha, C L Hatheway, S el Sharkawy, S A el-Rahim, M F al-Hamd
In April 1991, 91 hospitalized patients in Cairo were reported to the Egyptian Ministry of Health with botulism intoxication. To define the spectrum of illness and identify a food vehicle, 45 patients were interviewed and a case-control investigation was conducted among families of 5 hospitalized patients. Clinical specimens and specimens of implicated food were tested for toxin and cultured for Clostridium botulinum. Hospitalized patients had symptoms consistent with botulism; 18 (20%) of 91 reported patients died...
February 1993: Journal of Infectious Diseases
H Badhey, D J Cleri, R F D'Amato, J R Vernaleo, V Veinni, J Tessler, A A Wallman, A J Mastellone, M Giuliani, L Hochstein
Type E botulism, one of the least common forms of botulinal intoxication on the East Coast of the United States, is described for two elderly patients with chronic underlying disease. Both patients consumed tainted kapchunka, a salted, ungutted whitefish. Gastrointestinal symptoms and signs were prominent, but neurologic complaints, although noted soon after the consumption of the fish in one patient, did not progress until late in the course of the patient's illness. One patient exhibited both urinary retention, which was reported mainly in one outbreak of type E botulism (M...
March 1986: Journal of Clinical Microbiology
L M McCroskey, C L Hatheway
There was laboratory evidence of intestinal colonization in four cases of adult botulism confirmed by the Centers for Disease Control. No performed toxin was detected in available foods, but Clostridium botulinum was isolated from foods in two instances. Botulinal toxin was detected in the sera of all four patients, in one case at 47 days after ingestion of suspected food. C. botulinum was demonstrated in the stool of all four patients and persisted for 119 days after the onset of illness in one patient. Two patients had surgical alterations of the gastrointestinal tract, which may have promoted the colonization...
May 1988: Journal of Clinical Microbiology
C Hoyos, J Romero, J Solari, D Garcia
The first occurrence of Botulism described in Perú took place in Huancayo city, in November 1988. Twelve persons became ill, two of them died. All of them ate "salchipapas" a very popular meal in the country done with fried potatoes, hot dogs, eggs and dressed with mayonnaise) in a restaurant near their working place. Six of the twelve patients were immediately taken to Lima and admitted in Edgardo Rebagliati Martins National Hospital from the Social Security Peruvian Institute, and treated by the International Medicine Department...
1990: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
H Sugiyama
Intestinal infection with Clostridium botulinum was produced by intragastric administration of C. botulinum spores in conventionally reared mice seven to 13 days old but not in younger or older mice. The 50% infective dose of one of the culture strains administered was 170 spores per nine-day-old mouse. Overt botulism did not develop in these animals, but infection with C. botulinum was evidenced by the presence of botulinal toxin in the colon for up to seven days after challenge. Infant mice were at least as sensitive to the lethal action of botulinal toxin as were adult mice, and evidence suggests that infant rats may have a similar age-related susceptibility to enteric botulinal infection...
July 1979: Reviews of Infectious Diseases
S S Arnon, T F Midura, S A Clay, R M Wood, J Chin
Clostridium botulinum organisms and toxin were identified in the feces of six infants, aged 5 to 20 weeks, who had illnesses clinically consistent with botulism. Five of the infants lived in California and became ill within a six-month period in 1976; one infant became ill in New Jersey in 1975. Three cases were type A botulism, and three were type B. No source of ingested botulinal toxin could be found in any case. However, one infant with type B botulism had ingested a food containing C botulinum type B organisms, and no toxin was found in it...
May 2, 1977: JAMA: the Journal of the American Medical Association
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