Por favor, use este identificador para citar o enlazar este Item:http://hdl.handle.net/20.500.12105/16249
Título
First cross-border outbreak of foodborne botulism in the European Union associated with the consumption of commercial dried roach (Rutilus rutilus)
Autor(es)
Hendrickx, David | Varela Martinez, Maria del Carmen ISCIII | Contzen, Matthias | Wagner-Wiening, Christiane | Janke, Karl-Heinz | Hernando Jiménez, Pablo | Massing, Susanne | Pichler, Jeanette | Tichaczek-Dischinger, Petra | Burckhardt, Florian | Stark, Klaus | Katz, Katharina | Jurke, Annette | Thole, Sebastian | Carbó, Rosa | Pascual Del Pobil Ferré, Mariam | Nieto, Milagros | Zamora, María Jesús | Sisó, Ana | Pallares García, Pilar ISCIII | Valdezate, Sylvia ISCIII | Schaade, Lars | Worbs, Sylvia | Dorner, Brigitte Gertrud | Frank, Christina | Dorner, Martin Bernhard
Fecha de publicación
2023-01
Cita
Front Public Health. 2023 Jan 4;10:1039770.
Idioma
Inglés
Tipo de documento
research article
Resumen
Botulism outbreaks due to commercial products are extremely rare in the European Union. Here we report on the first international outbreak of foodborne botulism caused by commercial salt-cured, dried roach (Rutilus rutilus). Between November and December 2016, an outbreak of six foodborne botulism type E cases from five unrelated households was documented in Germany and Spain. The outbreak involved persons of Russian and Kazakh backgrounds, all consumed unheated salt-cured, dried roach-a snack particularly favored in Easter-European countries. The implicated food batches had been distributed by an international wholesaler and were recalled from Europe-wide outlets of a supermarket chain and other independent retailers. Of interest, and very unlike to other foodborne disease outbreaks which usually involves a single strain or virus variant, different Clostridium botulinum strains and toxin variants could be identified even from a single patient's sample. Foodborne botulism is a rare but potentially life-threatening disease and almost exclusively involves home-made or artisan products and thus, outbreaks are limited to individual or few cases. As a consequence, international outbreaks are the absolute exception and this is the first one within the European Union. Additional cases were likely prevented by a broad product recall, underscoring the importance of timely public health action. Challenges and difficulties on the diagnostic and epidemiological level encountered in the outbreak are highlighted.
Palabras clave
Foodborne botulism | Fish | Rutilus rutilus | Clostridium botulinum type E | Commercial dried roach | Outbreak investigation
MESH
Botulism | Clostridium botulinum | Cyprinidae | Animals | Humans | European Union | Disease Outbreaks | Sodium Chloride, Dietary
Versión en línea
DOI
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