Table 2 Examples of recent incidences of foodborne botulism with special attention to time to application of antitoxin and duration of ventilation
From: Foodborne botulism due to ingestion of home-canned green beans: two case reports
Source of outbreak (state and year, type of botulinum toxin) Reference | Number of cases/Respiratory failure | Symptom onset to resp. failure, hours | Ingestion of toxin to resp. failure, hours | Ingestion of toxin to application of antitoxin, hours | Duration of intubation, days |
|---|---|---|---|---|---|
Smoked ribs (China 2013, A) [16] | 12/2 | Patient 1: 26 Patient 2: 78 | Patient 1: 58 Patient 2: 110 | 54 | Patient 1: 12 Patient 2: 9 |
Bamboo shoots (Thailand 2006, A) [15] | 209/42 (18 of 42 were followed up) | 4–95 | 46–97 | 10 patients: 96 8 patients: 144 | Antitoxin given after 96 hours: 10–23 days. Antitoxin given after 144 hours: 10–36 days |
Carrot juice (USA 2006, A) [17] | 6/6 (5 of 6 were treated with antitoxin) | 8–96 | 38–72 (a) | Patient 1–3: 37–41 Patient 4: ~293 Patient 5: ~1057 | Antitoxin given: 54 to > 365 (one patient died). Antitoxin not given: 129 |
“Pruno” home-canned wine (USA 2011, A) [18] | 8/3 | 39–89 | 39–89 | 72–99 | Patient 1: 6 Patient 2: 19 Patient 3: 80 |