北方的A型和B型肉毒中毒：阿拉斯加因纽特人中首次报告的非E型毒素所致病例。
Type A and type B botulism in the North: first reported cases due to toxin other than type E in Alaskan Inuit.
作者信息
Barrett D H, Eisenberg M S, Bender T R, Burks J M, Hatheway C L, Dowell V R
出版信息
Can Med Assoc J. 1977 Sep 3;117(5):483-9.
Abstract
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.
摘要
肉毒中毒疫情显示，在阿拉斯加发生了由A型和B型毒素引起的疫情，该地区此前仅以E型肉毒中毒而闻名。由A型毒素引起的疫情涉及三人，其中两人死亡。由B型毒素引起的疫情涉及九人，无人死亡。两次疫情均发生在因纽特人村庄，当地食物被认定为罪魁祸首。这些疫情的发生强烈表明，A型和B型肉毒杆菌在阿拉斯加是本土存在的。这些疫情凸显了即使在北极地区，也需要用三价（ABE）抗毒素对患者进行初始治疗。
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