Botulism, Type E
Authors: RICHARD L. WHITTAKER
Journal: Annals of Internal Medicine (1964)

Article1 September 1964Botulism, Type EReport of Eight Simultaneous CasesRICHARD L. WHITTAKER, M.D., ROBERT B. GILBERTSON, M.D., ALBERT S. GARRETT JR., M.D.RICHARD L. WHITTAKER, M.D., ROBERT B. GILBERTSON, M.D., ALBERT S. GARRETT JR., M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-61-3-448 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn October, 1963, eight cases of botulism in three families were treated in Knoxville, Tennessee. Seven presented various degrees of poisoning while one, who had intimate exposure to the source of the poison, developed no symptoms of the disease. Coincident with this East Tennessee outbreak, four other cases appeared in the United States— two in Nashville, Tennessee, and two in Kalamazoo, Michigan. Epidemiologic and toxicologic studies revealed these cases to be Type E botulism transmitted by fish from the Great Lakes area. The toxin was identified from fish samples by The Robert Taft Sanitary Engineering Center of Cincinnati, Ohio. The...References1. DOLMANTOMISCHCAMPBELLLAING CEMCCWB: Fish eggs as a cause of human botulism: two outbreaks in British Columbia due to types A and B botulinus toxins. J. Infect. Dis. 106: 5, 1960. CrossrefMedlineGoogle Scholar2. DOLMANIIDA CEH: Type E botulism: its epidemiology, prevention and specific treatment. Canad. J. Public Health 54: 293, 1963. MedlineGoogle Scholar3. DOLMANCHANG CEH: The epidemiology and pathogenesis of Type E and fish-borne botulism. Canad. J. Public Health 44: 231, 1953. MedlineGoogle Scholar4. DOLMANCHANGKERRSHEARER CEHDEAR: Fish-borne and type E botulism: two cases due to home-pickled herring. Canad. J. Public Health 41: 215, 1950. MedlineGoogle Scholar5. DOLMAN CE: Further outbreaks of botulism in Canada. Canad. Med. Ass. J. 84: 191, 1961. MedlineGoogle Scholar6. DOLMAN CE: Type E (Fish-borne) botulism: a review. Jap. J. Med. Sci. Biol. 10: 383, 1957. CrossrefMedlineGoogle Scholar7. MEYER KF: The status of botulism as a world health problem. Bull. WHO 15: 281, 1956. MedlineGoogle Scholar8. JOHNSTONFELDMANSULLIVAN RWJRM: Botulism from canned tuna fish. Public Health Rep. 78: 561, 1963. CrossrefMedlineGoogle Scholar9. DACK GM: Current status of therapy in microbial food poisoning. (Council Reports) JAMA 172: 929, 1960. CrossrefMedlineGoogle Scholar10. BLACK ME: Botulism: its treatment (antitoxin). J. Florida Med. Ass. 27: 400, 1941. Google Scholar11. DOLMANKERR CEDE: Botulism in Canada, with report of type E outbreak at Namaimo, British Columbia. Canad. J. Public Health 38: 48, 1947. Google Scholar12. OLIN LC: Botulism: 7 cases. J. Tenn. Med. Ass. 26: 446, 1933. Google Scholar13. ORTON NB: Tracheotomy in botulism and residual poliomyelitis. Ann. Otol. 60: 485, 1951. Google Scholar14. BOROFFREILLY DAJR: Studies of the toxin of Clostridium botulism. VI. Botulism among pheasants and quail, mode of transmission, and degree of resistance offered by immunization. Int. Arch. Allerg. 20: 306, 1962. CrossrefGoogle Scholar15. ANDERSON AA: Effect of antibiotics on Clostridium botulinum. Antibiot. Chemother. 3: 521, 1952. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: RICHARD L. WHITTAKER, M.D.; ROBERT B. GILBERTSON, M.D.; ALBERT S. GARRETTJR., M.D.Affiliations: Knoxville, TennesseeFrom the University of Tennessee Memorial Research Center and Hospital, Knoxville, Tenn.Requests for reprints should be addressed to Richard L. Whittaker, M.D., 204 Medical Center Building, Knoxville, Tenn. 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DOWELL Jr., Ph.D., EUGENE J. GANGAROSA, M.D.CURRENT TRENDS IN THERAPY OF BOTULISM IN THE UNITED STATESLe botulisme en IranOccurrence, prevention, and monitoring of microbial quality loss of foods and dairy productsThe Clinical Aspects of BotulismTrivalent Botulinus AntitoxinM. GLENN KOENIG, M.D., F.A.C.P.Type B botulism in manBotulism- An Ever-Present MenaceBotulism, Vintage 1963DAVID E. ROGERS, M.D. 1 September 1964Volume 61, Issue 3Page: 448-454KeywordsBotulismDiarrheaEpidemiologyHeartNauseaPatientsPrevention, policy, and public healthToxinsVision ePublished: 1 December 2008 Issue Published: 1 September 1964 PDF downloadLoading ...