Botulinum poisoning case: No toxins were detected in the sausage sample, 1 person died

Regarding the cases of Botulinum poisoning diagnosed after eating fried spring rolls in Ho Chi Minh City, the verification units took samples for testing but still cannot confirm the source of poisoning.

Information from the Food Safety Management Board of Ho Chi Minh City, the results of the test samples from the leftovers of the patients and the production facilities did not detect Botulinum toxin. Ms. Pham Khanh Phong Lan, Head of the Food Safety Management Board of Ho Chi Minh City, said that after cases of Botulinum poisoning were diagnosed in the area, this unit has coordinated with the Department of Health to succeed. Thu Duc Street investigates the cause.

The common point of the victims of poisoning is eating the same sausage from a street vendor. The units coordinated and verified the production of bread and rolls that the victims ate and took samples for testing. A total of 15 samples including bread and rolls were obtained from the production facility and from the leftovers of the patients.

However, the test results did not detect C. Botulinum bacteria. Thus, it is still not possible to confirm the source of Botulinum poisoning for these cases.

Information from Children's Hospital 2, currently only one case has improved. That's NVH (born in 2009), hospitalized on May 15, diagnosed with botulinum toxin poisoning from food. I received an intravenous infusion of half a vial of BAT on May 15.

Currently, my muscle strength reaches 5/5, walking normally, no drooping eyelids, breathing air, eating and drinking normally, urinating normally, will be discharged on May 26.

Two other cases, NVD (born in 2010) and NTX (born in 2013), are still in serious condition, requiring mechanical ventilation, and their muscle strength has not improved. Both continued to receive supportive treatment (ventilator, nutrition, long-term care) and there was no indication for BAT. At Cho Ray Hospital, the condition of two patients is still progressing badly, completely paralyzed and requiring mechanical ventilation.

6 bottles of BAT antidote were delivered to Ho Chi Minh City on the evening of May 24. However, according to doctors, these cases do not have an indication for the use of an antidote. A 45-year-old man treated at Gia Dinh People's Hospital passed away on the night of May 24, three children being treated at Children's Hospital 2 had been used BAT before and had no indication to continue using it. use BAT.

Two cases (26 years old and 18 years old, siblings) being treated at Cho Ray Hospital were also not assigned to use BAT because it was too "golden time".

Earlier on the morning of May 13, the three brothers and their aunt ate fried spring rolls of unknown origin, describing them as broken but still eating them. By the afternoon of the same day, 3 people were dizzy, nauseated, vomiting, abdominal pain, loose stools.

Up to 24 hours after eating, the patient began to walk unsteadily, jerking facial and finger muscles, and increasing limb weakness. At the Emergency Department, Mr. diagnosed with food poisoning; The consultation between the Hospital for Tropical Diseases and the Cho Ray Hospital agreed to diagnose and monitor botulinum toxin poisoning with complications of respiratory failure. I D. received 1 vial of BAT antitoxin serum brought in from Quang Nam intravenously.

NTX was admitted to the hospital in a state of vomiting, abdominal pain, loose stools, weakness in the lower extremities in a state of consciousness, good contact, slight eyelid drooping, muscle strength in upper 2 limbs 5/5, muscle strength in 2 lower extremities. 3/5. Child X. was diagnosed and monitored for botulinum toxin poisoning from food. She was given oxygen, intravenous fluids, and 1/2 vial of BAT antitoxin serum.

"Currently, the hospital receives 3 bottles of BAT antidote, but whether to continue using the drug for patients or not must wait for professional advice," said Dr. Phu.

On the morning of May 25, according to a separate source from Gia Dinh People's Hospital (Ho Chi Minh City), a 45-year-old man (living in Thu Duc City) (one of three adult patients with botulinum poisoning due to eating sausages) passed away after intensive treatment.

Previously, the Health Department of Thu Duc City said that after receiving information that someone had botulinum poisoning due to eating sausage from a street vendor, the authorities checked and asked this sausage production facility to close. and stop working immediately.

All 3 patients were exposed to suspected food sources on May 13. In particular, two siblings (18 and 26 years old) ate bread with grilled pork rolls (treated at Cho Ray Hospital) and a 45-year-old man ate a long-lasting fish sauce (treated at Cho Ray Hospital). Gia Dinh People's Institute).

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