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Published on: March 3, 2014
Molecular and Epidemiological Characterization of Infant Botulism in Beijing, China
Yin Ping Dong1, Wei Wang1, Tao Jiang1
1Key Laboratory of Food Safety Risk Assessment, Ministry of Health, China National Center for Food Safety Risk Assessment (CFSA), Beijing 100021, China.
Abstract:
Laboratory-based pathogen isolation, identification, and toxicity determination were performed on samples from a suspected case of infant botulism. Mice injected with cultures generated from the enema sample and ingested Powered infant formula (PIF) presented typical signs of botulism. Antitoxins to polyvalent botulinum neurotoxins (BoNTs) and monovalent BoNT type B antitoxin had protective effects. Clostridium botulinum isolated from the enema and residual PIF samples were positive for type B toxin. Pulsed-field gel electrophoresis (PFGE) revealed that the two strains of C. botulinum isolated from the two samples produced indistinguishable pulsotypes. These findings confirmed this case of type B infant botulism associated with the ingestion of PIF contaminated by type B C. botulinum spores.
Insights
This study confirmed infant botulism caused by type B Clostridium botulinum spores in powdered infant formula (PIF). The pathogen was isolated from both the infant and the PIF, demonstrating a clear link.
Area of Science:
- Microbiology
- Toxicology
- Pediatrics
Background:
- Infant botulism is a rare but serious condition caused by Clostridium botulinum spores.
- Powdered infant formula (PIF) has been implicated as a potential source of contamination.
Observation:
- A suspected case of infant botulism was investigated through laboratory analysis of clinical and formula samples.
- Animal models (mice) were used to assess the pathogenicity of isolated microorganisms.
- Treatment with specific botulinum neurotoxin (BoNT) antitoxins demonstrated efficacy.
Findings:
- Clostridium botulinum type B was isolated from both an infant's enema sample and residual PIF.
- Injected mice developed characteristic botulism symptoms, confirming the isolates' toxicity.
- Pulsed-field gel electrophoresis (PFGE) confirmed the isolates from the infant and PIF were indistinguishable strains.
- The findings confirmed type B infant botulism linked to contaminated PIF.
Implications:
- This case highlights the critical need for stringent quality control in PIF production to prevent infant botulism.
- Identifies contaminated PIF as a direct source of Clostridium botulinum spores leading to infant illness.
- Reinforces the importance of microbiological testing and traceback investigations in foodborne illness outbreaks.
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