Otofuji T, Tokiwa H, Takahashi K
Epidemiol Infect. 1987 Aug;99(1):167-72. doi: 10.1017/s0950268800066991.
Food poisoning caused by Clostridium botulinum toxin A occurred in Japan. Eleven (31%) of 36 patients from 14 different areas died of botulism. Most of the patients had eaten commercial fried lotus-rhizome solid mustard without heating. The food, which implicated one of the special local products used for gifts in Kumamoto, was found to have been produced by a manufacturer in Kumamoto prefecture. In Fukuoka prefecture, two of three patients died on days 4 and 8 after eating the food; they had typical symptoms of botulism. A total of 42 packages of the food bought as gifts was collected from different districts in Fukuoka prefecture for examination for both organism and toxin. Thirteen of these (31%) were contaminated with the organism, and in 11 (26%) a small amount of toxin A had been produced.
日本发生了由肉毒杆菌A毒素引起的食物中毒事件。来自14个不同地区的36名患者中有11人（31%）死于肉毒中毒。大多数患者食用了未经加热的市售油炸藕片固体芥末。这种食品是熊本地区作为礼品使用的特色产品之一，经调查发现是由熊本县的一家制造商生产的。在福冈县，三名患者中有两名在食用该食品后的第4天和第8天死亡；他们具有典型的肉毒中毒症状。从福冈县不同地区收集了总共42份作为礼品购买的该食品，用于检测其中的微生物和毒素。其中13份（31%）被微生物污染，11份（26%）产生了少量的A毒素。
