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. 2007 Jul 15;45(2):e14-6.
doi: 10.1086/518993. Epub 2007 Jun 12.

Outbreak of clinically mild botulism type E illness from home-salted fish in patients presenting with predominantly gastrointestinal symptoms

J Sobel  1 , M Malavet, S John
Affiliations

Outbreak of clinically mild botulism type E illness from home-salted fish in patients presenting with predominantly gastrointestinal symptoms

J Sobel et al. Clin Infect Dis. .

Abstract

Five persons consumed home-salted fish and then presented with gastrointestinal symptoms to 3 hospitals; 2 of the patients had minimal cranial nerve palsies. Early serum samples obtained from all patients were negative for botulinum toxin. Remnant fish tested positive for botulinum toxin type E. In patients exposed to low doses of botulinum toxin type E, gastrointestinal symptoms may predominate.

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