It is probable that many outbreaks go unreported because the implicated foods or patient feces are not tested routinely for C. perfringens or its toxin. CDC estimates that about 10,000 actual cases occur annually in the U.S. 7. In the elderly or infirm, symptoms may last 1-2 weeks. The young and elderly are the most frequent victims of perfringens poisoning. Except in the case of pig-bel syndrome, complications are few in persons under 30 years of age.
Elderly persons are more likely to experience prolonged or severe symptoms.
Standard bacteriological culturing procedures are used to detect the organism in implicated foods and in feces of patients. Serological assays are used for detecting enterotoxin in the feces of patients and for testing the ability of strains to produce toxin. The procedures take 1-3 days. In two instances, more than one outbreak occurred in the same feeding facility within a 3-week period. One such outbreak occurred on 19 March 1984, involving 77 prison inmates.