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2024年,英国,花生酱被确认为一例婴儿肉毒中毒病例的感染源。

Peanut butter confirmed as the source in a case of infant botulism, United Kingdom, 2024.

作者信息

Crane Rosie J, Amar Corinne Fl, Omoruyi Humphrey, Ahmed Burhan, Finch Jonathan, Kendrick Rachael, Ladhani Shamez, Painset Anais, Rajendram Dunstan, Raphaely Nika, Dwarakanathan Buvana, Guruprasad Suba, Zuhur-Adi Hani, Wong Vanessa K, Godbole Gauri

机构信息

St George's University Hospitals NHS Foundation Trust, London, United Kingdom.

United Kingdom Health Security Agency (UKHSA), London, United Kingdom.

出版信息

Euro Surveill. 2025 Jul;30(30). doi: 10.2807/1560-7917.ES.2025.30.30.2500512.

DOI:10.2807/1560-7917.ES.2025.30.30.2500512
PMID:40747570
Abstract

A 6-month-old infant was hospitalised with suspected infant botulism after being given peanut butter to reduce their risk of developing peanut allergy. type A was detected in their faeces and the peanut butter by PCR and culture. Whole genome sequencing confirmed identical strains, identifying the peanut butter as the source of infection. The infant was treated with human-derived antitoxin Botulism Immune Globulin Intravenous (Human) (BIG-IV) and recovered well. This case highlights potential botulism risk with early peanut introduction.

摘要

一名6个月大的婴儿在食用花生酱以降低患花生过敏风险后,因疑似婴儿肉毒中毒而住院。通过聚合酶链反应(PCR)和培养在其粪便和花生酱中检测出A型肉毒杆菌。全基因组测序证实菌株相同,确定花生酱为感染源。该婴儿接受了人源抗毒素静脉注射用肉毒中毒免疫球蛋白(人)(BIG-IV)治疗,恢复良好。该病例凸显了过早引入花生存在的潜在肉毒中毒风险。

相似文献

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Euro Surveill. 2025 Jul;30(30). doi: 10.2807/1560-7917.ES.2025.30.30.2500512.
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本文引用的文献

1
Prevalence of Clostridium botulinum in Retail Peanut Butters from a 2007 Survey in Ottawa, Canada.2007 年在加拿大渥太华进行的一项调查显示零售花生酱中肉毒梭菌的流行情况。
Curr Microbiol. 2024 Aug 23;81(10):322. doi: 10.1007/s00284-024-03843-1.
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Infant botulism: an underestimated threat.婴儿肉毒中毒:一个被低估的威胁。
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Diversity of the Genomes and Neurotoxins of Strains of Group I and Associated with Foodborne, Infant and Wound Botulism.
组 I 型和相关食源性、婴儿和创伤性肉毒梭菌菌株的基因组和神经毒素多样性。
Toxins (Basel). 2020 Sep 11;12(9):586. doi: 10.3390/toxins12090586.
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BSACI guideline for the diagnosis and management of peanut and tree nut allergy.BSACI 花生和树坚果过敏诊断与管理指南。
Clin Exp Allergy. 2017 Jun;47(6):719-739. doi: 10.1111/cea.12957.
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Randomized Trial of Introduction of Allergenic Foods in Breast-Fed Infants.母乳喂养婴儿引入变应原食物的随机试验。
N Engl J Med. 2016 May 5;374(18):1733-43. doi: 10.1056/NEJMoa1514210. Epub 2016 Mar 4.
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N Engl J Med. 2015 Feb 26;372(9):803-13. doi: 10.1056/NEJMoa1414850. Epub 2015 Feb 23.
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Emerg Infect Dis. 2012 Jan;18(1):1-6. doi: 10.3201/eid1801.110533.
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Human botulism immune globulin for the treatment of infant botulism.用于治疗婴儿肉毒中毒的人源性肉毒中毒免疫球蛋白。
N Engl J Med. 2006 Feb 2;354(5):462-71. doi: 10.1056/NEJMoa051926.
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Arch Neurol. 1977 Apr;34(4):236-43. doi: 10.1001/archneur.1977.00500160050009.