Outbreak of Suspected Clostridium butyricum Botulism in India
1998

Outbreak of Clostridium butyricum Botulism in India

Sample size: 310 publication Evidence: moderate

Author Information

Author(s): Rama Chaudhry, Benu Dhawan, Dinesh Kumar, Rajesh Bhatia, J.C Gandhi, R.K. Patel, B.C. Purohit

Primary Institution: All India Institute of Medical Sciences, New Delhi, India

Hypothesis

Is Clostridium butyricum responsible for the foodborne botulism outbreak in India?

Conclusion

The outbreak was caused by food contaminated with toxigenic Clostridium butyricum.

Supporting Evidence

  • 34 out of 310 students reported symptoms after eating contaminated food.
  • Two students died due to the outbreak.
  • Botulinum toxin was detected in food samples.
  • Neurotoxigenic C. butyricum was isolated from the food implicated in the outbreak.

Takeaway

A group of students got very sick after eating contaminated food, and it turned out that the food had a harmful bacteria called Clostridium butyricum in it.

Methodology

Food samples were tested for botulinum toxin and cultured anaerobically; PCR was used to detect toxin genes.

Limitations

Clinical materials for toxin detection were not submitted, and early serum samples could not be obtained.

Participant Demographics

Students from a residential school in rural Gujrat, India.

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