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两起产气荚膜梭菌食物中毒暴发:流行病学评论(作者译)

[Two outbreaks of "Clostridium perfringens" food poisoning: epidemiological remarks (author's transl)].

作者信息

Caroli G, Armani G, Sciacca A, Bargagna M, Levré E

出版信息

Ann Sclavo. 1977 May-Jun;19(3):494-501.

PMID:204262
Abstract

Two outbreaks of Cl. perfringens food poisoning which occurred in Florence during 1976 have been described. The first one involved three hundred primary school children; processed re-heated turkey meat was thought to have been the vehicle of infection in the school meal. The clinical symptoms consisted of mild diarrhoea in all cases and the duration of the illness was about 12 hours. The possible part played by food storage temperature, post-cooking periods and food trolleys in the spread of infection is discussed. The other outbreak interested three people who ate a dish with gravy in a restaurant; one of these suffered severe haemorrhagic enteritis and died after two weeks. Necroscopy was performed and the results of post-mortem examination as well as histological and bacteriological findings certified that the cause of death was severe enteritis (Necrotizing enteritis) in elderly debilitated patient (with diabetes, chronic bronchitis, arteriosclerosis and previously gastroresected).

摘要

本文描述了1976年在佛罗伦萨发生的两起产气荚膜梭菌食物中毒事件。第一起事件涉及300名小学生;加工后重新加热的火鸡肉被认为是学校餐食中的感染源。所有病例的临床症状均为轻度腹泻,病程约12小时。文中讨论了食品储存温度、烹饪后放置时间以及餐车在感染传播中可能起到的作用。另一起事件涉及三名在一家餐馆食用了带肉汁菜肴的人;其中一人患严重出血性肠炎,两周后死亡。进行了尸检,尸检结果以及组织学和细菌学检查结果证实,死因是老年体弱患者(患有糖尿病、慢性支气管炎、动脉硬化且曾接受胃切除术)的严重肠炎(坏死性肠炎)。

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