2015
DOI: 10.2807/1560-7917.es2015.20.6.21031
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Cluster of two cases of botulism due to Clostridium baratii type F in France, November 2014

Abstract: The first two cases in France of botulism due to Clostridium baratii type F were identified in November 2014, in the same family. Both cases required prolonged respiratory assistance. One of the cases had extremely high toxin serum levels and remained paralysed for two weeks. Investigations strongly supported the hypothesis of a common exposure during a family meal with high level contamination of the source. However, all analyses of leftover food remained negative.

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Cited by 12 publications
(7 citation statements)
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“…The three cases reported here presented with severe symptoms and rapid progression towards respiratory failure and quadriplegia, although of shorter duration compared with C. botulinum-related botulism [4]. These clinical signs are similar to those described for type F botulism cases [1][2][3][4][5][6][7][8]. A high level of protein in the CSF has also been described with botulism [7,9], which could lead to misdiagnosis.…”
Section: Discussionsupporting
confidence: 71%
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“…The three cases reported here presented with severe symptoms and rapid progression towards respiratory failure and quadriplegia, although of shorter duration compared with C. botulinum-related botulism [4]. These clinical signs are similar to those described for type F botulism cases [1][2][3][4][5][6][7][8]. A high level of protein in the CSF has also been described with botulism [7,9], which could lead to misdiagnosis.…”
Section: Discussionsupporting
confidence: 71%
“…This is the second C. baratii type F botulism outbreak in France in less than one year [2,3]. Given that strains are centralised at the NRC, we can expect that any new case of type F botulism that may occur in the future, will be identified and notified.…”
Section: Discussionmentioning
confidence: 99%
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“…C. baratii is not taxonomically related to C. botulinum, but some members of this species have caused Microorganisms 2022, 10, 213 2 of 17 botulism outbreaks associated with food consumption, as well as sporadic infant botulism cases (less than 1% of total cases). These outbreaks are described as sporadic and rare episodes [11][12][13][14][15]; however, the strains that possess the neurotoxin may pose a significant threat, and it is essential to further study the properties of these microorganisms. C. baratii strains have been found in liver pastes, meat, soil, and other foods.…”
Section: Introductionmentioning
confidence: 99%
“…but she recovered after 46 days in intensive care unit. The origin of this outbreak was not determined [139]. The second outbreak concerned three patients who have had their meal at the same restaurant on the same day.…”
Section: Foodborne Botulismmentioning
confidence: 99%