Epidémie de botulisme de type B: Sion, décembre 1993-janvier 1994 [Epidemic of type B botulism: Sion, December 1993-January 1994].

Détails

ID Serval
serval:BIB_C4629412BE7C
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Epidémie de botulisme de type B: Sion, décembre 1993-janvier 1994 [Epidemic of type B botulism: Sion, December 1993-January 1994].
Périodique
Schweizerische Medizinische Wochenschrift
Auteur⸱e⸱s
Troillet N., Praz G.
ISSN
0036-7672 (Print)
ISSN-L
0036-7672
Statut éditorial
Publié
Date de publication
1995
Peer-reviewed
Oui
Volume
125
Numéro
39
Pages
1805-1812
Langue
français
Notes
Publication types: Case Reports ; English Abstract ; Journal Article ; Review
Résumé
12 cases of food-borne botulism were registered in Sion, Switzerland, between 31 December, 1993 and 12 January, 1994. A type B toxin was isolated from the serum of one patient and from the incriminated ham. Clinical data of 10 male patients aged 21 to 54 years and some epidemiologic data are reported. The clinical course was mild to moderate with predominant autonomic and gastro-intestinal symptoms and signs: blurred vision (10 patients of 10), dry mouth with dysphagia (9/10), asthenia (7/10), diarrhea and/or constipation (7/10), nausea and vomiting (6/10), abdominal cramps (5/10), impaired sexual function (5/10), dilated pupils (4/10). Some discomfort (mainly blurred vision, asthenia and impaired sexual function) persisted for several months in most patients. Neuromuscular involvement was never the reason for seeking medical assistance and had often disappeared at the time of the first visit. Two patients were hospitalized, one for transient ileus of unknown origin and the second (first suspected case) for monitoring and infusion of trivalent equine botulinum antitoxin. This treatment was administered on day eight after intoxication and had no effect on this patient's outcome when compared with others. No patient died. Epidemiology, diagnosis, treatment and prognosis of botulism are discussed.
Mots-clé
Adult, Animals, Botulinum Toxins/blood, Botulism/blood, Botulism/complications, Disease Outbreaks, Female, Food Microbiology, Humans, Intestinal Obstruction/complications, Male, Meat, Middle Aged, Prognosis, Swine, Switzerland/epidemiology
Pubmed
Création de la notice
28/12/2013 18:55
Dernière modification de la notice
20/08/2019 16:39
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