Canadian Medical Association journal · 1977
Type A and type B botulism in the North: first reported cases due to toxin other than type E in Alaskan Inuit.
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Barrett D H, Eisenberg M S, Bender T R, Burks J M, Hatheway C L, Dowell V R
Аннотация
Botulism outbreaks shown to be due to type A and type B toxin occurred in Alaska, a region previously known for only type E botulism. The outbreak due to type A toxin involved three people, two of whom died. The outbreak due to type B toxin involved nine people, none of whom died. Both outbreaks were in Inuit villages, and native foods were incriminated. The occurrence of these outbreaks strongly suggests that Clostridium botulinum, types A and B are indigenous to Alaska. The outbreaks underscore the need for initial treatment of patients with antitoxin that is trivalent (ABE), even in Arctic regions.