PMID- 26914208
OWN - NLM
STAT- MEDLINE
DCOM- 20160629
LR  - 20160226
IS  - 1545-861X (Electronic)
IS  - 0149-2195 (Linking)
VI  - 65
IP  - 7
DP  - 2016 Feb 26
TI  - Outbreak of Foodborne Botulism Associated with Improperly Jarred Pesto--Ohio and 
      California, 2014.
PG  - 175-7
LID - 10.15585/mmwr.mm6507a2 [doi]
AB  - On July 28, 2014, the Cincinnati Health Department was notified of suspected 
      cases of foodborne botulism in two women admitted to the same hospital 12 days 
      apart. Patient A had been treated for 12 days for suspected autoimmune disease. 
      When patient B, the roommate of patient A, was evaluated at the same medical 
      center for similar symptoms, it was learned that on July 13, patient A and 
      patient B had shared a meal that included prepackaged pesto from a jar; 
      clinicians suspected botulism and notified the local health department. The pesto 
      had been purchased from company A's farm stand in San Clemente, California. 
      Laboratory testing detected botulinum toxin type B by enzyme-linked immunosorbent 
      assay (ELISA) in leftovers of pasta with pesto. A culture of these food samples 
      yielded Clostridium spp. that produced botulinum toxin type B; polymerase chain 
      reaction (PCR) testing also was positive for type B toxin gene. Environmental 
      assessment of company A identified improper acidification and pressurization 
      practices and lack of licensure to sell canned products commercially, including 
      products in hermetically-sealed jars. On July 30, the vendor voluntarily recalled 
      all jarred products, and the California Department of Public Health (CDPH) warned 
      the public not to consume company A's jarred foods. This report describes the two 
      cases and the public health investigation that traced the source of the outbreak.
FAU - Burke, Patrick
AU  - Burke P
FAU - Needham, Michael
AU  - Needham M
FAU - Jackson, Brendan R
AU  - Jackson BR
FAU - Bokanyi, Rick
AU  - Bokanyi R
FAU - St Germain, Eric
AU  - St Germain E
FAU - Englender, Steven J
AU  - Englender SJ
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20160226
PL  - United States
TA  - MMWR Morb Mortal Wkly Rep
JT  - MMWR. Morbidity and mortality weekly report
JID - 7802429
RN  - 0Y70779M1F (rimabotulinumtoxinB)
RN  - EC 3.4.24.69 (Botulinum Toxins, Type A)
SB  - IM
MH  - Botulinum Toxins, Type A/isolation & purification
MH  - Botulism/*diagnosis/*epidemiology
MH  - California/epidemiology
MH  - *Disease Outbreaks
MH  - Enzyme-Linked Immunosorbent Assay
MH  - Female
MH  - *Food Microbiology
MH  - Food Preservation/methods/standards
MH  - Food, Preserved/*microbiology
MH  - Humans
MH  - Ohio/epidemiology
MH  - Young Adult
EDAT- 2016/02/26 06:00
MHDA- 2016/06/30 06:00
CRDT- 2016/02/26 06:00
PHST- 2016/02/26 06:00 [entrez]
PHST- 2016/02/26 06:00 [pubmed]
PHST- 2016/06/30 06:00 [medline]
AID - 10.15585/mmwr.mm6507a2 [doi]
PST - epublish
SO  - MMWR Morb Mortal Wkly Rep. 2016 Feb 26;65(7):175-7. doi: 10.15585/mmwr.mm6507a2.