RICHARD L. WHITTAKER, M.D.; ROBERT B. GILBERTSON, M.D.; ALBERT S. GARRETT JR., M.D.
In October, 1963, eight cases of botulism in three families were treated in Knoxville, Tennessee. Seven presented various degrees of poisoning while one, who had intimate exposure to the source of the poison, developed no symptoms of the disease. Coincident with this East Tennessee outbreak, four other cases appeared in the United States— two in Nashville, Tennessee, and two in Kalamazoo, Michigan. Epidemiologic and toxicologic studies revealed these cases to be Type E botulism transmitted by fish from the Great Lakes area. The toxin was identified from fish samples by The Robert Taft Sanitary Engineering Center of Cincinnati, Ohio. The
WHITTAKER RL, GILBERTSON RB, GARRETT AS. Botulism, Type E: Report of Eight Simultaneous Cases. Ann Intern Med. ;61:448–454. doi: 10.7326/0003-4819-61-3-448
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Published: Ann Intern Med. 1964;61(3):448-454.
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