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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A Massive Outbreak of Type E Botulism Associated with Traditional Salted Fish in Cairo
Journal of Infectious Diseases, Volume 167, No. 2, Year 1993
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Description
In April 1991, 91 hospitalized patients in Cairo were reported to the Egyptian Ministry of Health with botulism intoxication. To define the spectrum of illness and identify a food vehicle, 45 patients were interviewed and a case-control investigation was conducted among families of 5 hospitalized patients. Clinical specimens and specimens of implicated food were tested for toxin and cultured for Clostridium botulinum. Hospitalized patients had symptoms consistent with botulism; 18 (20%) of91 reported patients died. Illness was associated with eating faseikh (uneviscerated, salted mullet fish; lower 95% confidence limit of odds ratio = 6.6, P <.001). All 5 case-families purchased faseikh from one shop. Very high levels of type E botulinal toxin were detected in faseikh reported to be purchased from the implicated shop; C. botulinum type E was isolated from cultures of clinical specimens and from the faseikh. This is the first documented outbreak of botulism in Egypt and the largest type E outbreak ever reported. © 1993 by The University of Chicago.
Authors & Co-Authors
Weber, J. T.
United States, Atlanta
Centers for Disease Control and Prevention
Egypt, Cairo
Egyptian Ministry of Health and Population
Hibbs, Richard G.
United States, Atlanta
Centers for Disease Control and Prevention
Egypt, Cairo
Egyptian Ministry of Health and Population
Darwish, Ahmed
United States, Atlanta
Centers for Disease Control and Prevention
Egypt, Cairo
Egyptian Ministry of Health and Population
Mishu, Ban
United States, Atlanta
Centers for Disease Control and Prevention
Egypt, Cairo
Egyptian Ministry of Health and Population
United States, Nashville
Vanderbilt University Medical Center
Corwin, Andrew Lee
United States, Atlanta
Centers for Disease Control and Prevention
Egypt, Cairo
Egyptian Ministry of Health and Population
Rakha, Magda
United States, Atlanta
Centers for Disease Control and Prevention
Egypt, Cairo
Egyptian Ministry of Health and Population
Hatheway, Charles L.
United States, Atlanta
Centers for Disease Control and Prevention
Egypt, Cairo
Egyptian Ministry of Health and Population
Sharkawy, Said El
United States, Atlanta
Centers for Disease Control and Prevention
Egypt, Cairo
Egyptian Ministry of Health and Population
Rahim, Sobhi Abd El
United States, Atlanta
Centers for Disease Control and Prevention
Egypt, Cairo
Egyptian Ministry of Health and Population
Al Hamd, Mohammed Fathi Sheba
United States, Atlanta
Centers for Disease Control and Prevention
Egypt, Cairo
Egyptian Ministry of Health and Population
Sarn, James E.
United States, Atlanta
Centers for Disease Control and Prevention
Egypt, Cairo
Egyptian Ministry of Health and Population
United States, Rockville
Us Public Health Service
Blake, Paul A.
United States, Atlanta
Centers for Disease Control and Prevention
Egypt, Cairo
Egyptian Ministry of Health and Population
Tauxe, Robert V.
United States, Atlanta
Centers for Disease Control and Prevention
Egypt, Cairo
Egyptian Ministry of Health and Population
Statistics
Citations: 103
Authors: 13
Affiliations: 4
Identifiers
Doi:
10.1093/infdis/167.2.451
ISSN:
00221899
e-ISSN:
15376613
Research Areas
Food Security
Study Design
Case-Control Study
Study Locations
Egypt