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Abstracts |

Botulism: Type E—A Report of Eight Simultaneous Cases.

Richard L. Whittaker, M.D., F.A.C.P.; Robert B. Gilbertson, M.D., F.A.C.P.; and Albert S. Garrett Jr., M.D.
Ann Intern Med. 1964;60(4):731. doi:10.7326/0003-4819-60-4-731_2
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In October 1963, nine cases of botulism were seen in a moderate sized metropolitan area of East Tennessee. Seven appeared within a 24-hr period. Two appeared 5 days later. Epidemiologic investigation showed the source of toxin to be smoked whitefish prepared by a Michigan packer and distributed by a large supermarket chain. Bacteriologic and toxicologic studies identified the toxin as type E, that type associated with fish contamination.

Since all cases were managed at one hospital by a "team" of physicians, we have been able to analyze various aspects of the problem critically. We feel that certain clinical facts and




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