1990
DOI: 10.1093/infdis/161.2.340
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An International Outbreak of Type E Botulism Due to Uneviscerated Fish

Abstract: In October and November 1987, eight cases of type E botulism occurred in New York City and Israel. All eight patients had eaten uneviscerated, salted, air-dried whitefish known as kapchunka. Clostridium botulinum was isolated from samples of fish, and trypsinized portions of kapchunka contained type E toxin despite levels of salt that were far in excess of those considered adequate for safety. As C. botulinum has been found in the viscera of fish from the Great Lakes, possible explanations for the outbreak inc… Show more

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Cited by 45 publications
(23 citation statements)
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“…If the product has insufficient salt, or fails to achieve a rapid pH drop to below 4.5, C. botulinum can grow. Eight cases of type E botulism were described (Telzak et al, 1990). All eight patients had eaten uneviscerated, salted, air-dried whitefish known as kapchunka.…”
Section: Clostridium Botulinummentioning
confidence: 99%
“…If the product has insufficient salt, or fails to achieve a rapid pH drop to below 4.5, C. botulinum can grow. Eight cases of type E botulism were described (Telzak et al, 1990). All eight patients had eaten uneviscerated, salted, air-dried whitefish known as kapchunka.…”
Section: Clostridium Botulinummentioning
confidence: 99%
“…Therefore, to avoid the production of neurotoxin, it is essential to prevent its germination. The toxin types are classified as A, B, C, D, E, F and G. Human botulism has been mainly described with the strains of C. botulinum that produce toxin types A, B and E. Botulism outbreaks caused by different home-prepared or preserved foods have been widely reported in the literature, most of them due to improperly pasteurized or packed home-canned vegetables [3,4]; home-made oil condiments and sauces [5][6][7]; fishery products [8,9]; cheese [10,11]; or meat products [12,13]. Although it is not usual, several outbreaks in table olives have also been reported to be mainly associated with black table olives [14].…”
Section: Introductionmentioning
confidence: 99%
“…This total comprised 42 isolates from birds and 2 from fish (Table 4). A strain from a 1987 food outbreak (35) was included as a control. The isolates from the ongoing outbreak clustered into 12 distinct types of C. botulinum, including 29 subtypes.…”
Section: Resultsmentioning
confidence: 99%
“…All isolates were typed at the same time. A control strain from a 1987 food outbreak of type E botulism was included as a control (35).…”
Section: Methodsmentioning
confidence: 99%