Submitted: 08 Sep 2014
Revised: 20 Nov 2014
Accepted: 02 Dec 2014
First published online: 14 Feb 2015
EndNote EndNote

(Enw Format - Win & Mac)

BibTeX BibTeX

(Bib Format - Win & Mac)

Bookends Bookends

(Ris Format - Mac only)

EasyBib EasyBib

(Ris Format - Win & Mac)

Medlars Medlars

(Txt Format - Win & Mac)

Mendeley Web Mendeley Web
Mendeley Mendeley

(Ris Format - Win & Mac)

Papers Papers

(Ris Format - Win & Mac)

ProCite ProCite

(Ris Format - Win & Mac)

Reference Manager Reference Manager

(Ris Format - Win only)

Refworks Refworks

(Refworks Format - Win & Mac)

Zotero Zotero

(Ris Format - FireFox Plugin)

Avicenna J Clin Microbiol Infect. 2015;2(1): e23476.
doi: 10.17795/ajcmi-23476
  Abstract View: 48
  PDF Download: 43

Research Article

A Family Outbreak of Foodborne Botulism Following Consumption of Home-Canned Doogh in Hamadan, West of Iran

Seyyed Hamid Hashemi 1, Mojgan Mamani 1, Fatemeh Torkaman Asadi 2,3 * , Afshin Fayyazi 4

1 Brucellosis Research Center, Department of Infectious Diseases, Hamadan University of Medical Sciences, Hamadan, IR Iran
2 Department of Infectious Diseases, Hamadan University of Medical Sciences, Hamadan, IR Iran
3 Blood transfusion reserch center, high institute for reserch and education in transfusion medicine, Hamadan, IR Iran
4 Department of Pediatrics, Hamadan University of Medical Sciences, Hamadan, IR Iran
Corresponding author: Fatemeh Torkaman Asadi, Department of Infectious Diseases, Hamedan University of Medical Sciences, Hamadan, IR Iran. Tel: +98-8138274192, Fax: +98- 8138276010 Email: dr.torkamanasadi@yahoo.com

Abstract

Background: Food-borne botulism is one of the potentially fatal forms of food poisoning, usually caused by ingestion of home-canned vegetables, fruits and fish products.

Objectives: The aim of this study was to report an outbreak of botulism due to homemade doogh in Hamadan, Iran.

Patients and Methods: During an outbreak, 10 members of a family referred to the hospital because of food poisoning. All patients had a history of consumption of doogh, a traditional drink. After careful physical examination, all of them were hospitalized. Botulism was suspected in all patients except for the first patient.

Results: The first patient was a 76-year-old man who died after 12 hours of admission due to respiratory distress. Nine subsequent patients were diagnosed as botulism with the following symptoms: diplopia (90%), dizziness (70%), nausea and vomiting (80%), ptosis (60%), symmetric weakness of extremities (60%), dysarthria (30%), chest discomfort (30%), mydriasis (20%), dysphasia (20%) and dry mouth (20%). All of the nine patients received botulinum antitoxin and improved during 5-15 days of hospitalization.

Conclusions: Immediate diagnosis based on careful history and physical examination are essential for management of botulism. People should be notified about proper food handling and preparation of traditional homemade foods.

Copyright © 2015, Hamadan University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
First name
 
Last name
 
Email address
 
Comments
 
Security code