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Home >> Microbiology >> Microbial Diseases and Their Control >> Botulism

Botulism
Botulism is caused by the ingestion of food containing the neurotoxin (toxin that affects the nervous system) produced by Clostridium botulinum, an anaerobic spore forming bacterium. Sixty to seventy per sent cases of botulism die. There are 7 types (type A,B,C,D,E,F,G) of these neurotoxins recognised on the basis of specificity. The neurotoxin of C.botulinum is a protein. It has been purified and crystallized and is so powerful that only a dose as low as 0.01 mg is said to be fatal to human beings. The toxin is absorbed mostly in the small intestine and paralyzes the involuntary muscles of the body.

Serological Types of Botulism Neurotoxins
Type A: It commonly causes botulism in the western part of the United States and is more toxic than type B.

Type B: This type occurs more often then type A in most soils of the world and is  less toxic to human beings.

Type C: So far as is known, this type causes botulism of cattle, fowls, and other animals but not of human beings.

Type D: This type has been reported causing forage poisoning of cattle in South African countries.Type E: This type has been obtained chiefly from fish and fish products and is toxic for human beings.

Type F: This type has been isolated in Denmark and causes human botoulism

Type G: It has recently been isolated from the soil in Argentina. It does not concern with human botulism.

Source.
The main sources of botulism are canned meat, fish, string beans, sweet corn, beans, and other low medium acid foods. The foods implicated are generally those of a type that have undergone some treatment intended for the preservation of the product such as canning, pickling or smoking, but one which failed to destroy the spores of this bacterium. When the intended preservative treatment is inadequate and is followed by storage conditions which permit the germination and growth of the microorganisms, one of the most lethal toxins known to humanity is produced. The toxin has been known to persist in foods for long periods, especially when storage has been at low temperatures. It is unstable at pH value above 6.8.

Temperature is considered to be the most important factor in determining whether toxin production will take place and what the rate of production will be. Various strains of C. Botulinum types A and b vary in their temperature requirements; a few strains grow at 10 to 110C. However, the lowest temperature for germination of spores of the most of the strains is 150C and maximum of 480C.

 Symptoms
Symptoms generally occur within 12 to 36 hours after consumption of the spoiled food. Early symptoms are digestive disturbances followed by nausea, vomiting, diarrhoea together with dizziness and headache. Double vision may occur early and there may be difficulty in speaking. Mouth may become dry, throat constricted, tongue may get swollen and coated. Involuntary muscles become paralysed and paralysis spreads to the respiratory system and to the heart. Death normally results from respiratory failure.

Prevention. Canned food should be properly processed by using approved heat processes. Food that has been cooked but not well heated should be avoided. Raw foods and frozen foods thawed and held at room temperature should be avoided. Gassy and spoiled canned foods should be rejected. Boiling of suspected food for at  least 15 minutes is required.

Treatment. Successful treatment is by the administration of polyvalent antitoxin in the early stages of infection. Once the symptoms appear the treatment fails to prove useful.

 

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