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Infant Botulism: Three Cases in a Small Town

Infant Botulism: Three Cases in a Small Town Abstract • Through Dec 31, 1985, there have been six cases of infant botulism reported in Colorado. Three of these infants have lived in the same town of 800 people in western Colorado. Two of these three infants developed infant botulism within a six-month period in late 1981. The infants lived approximately 400 m apart; they had used the same crib at the time each developed botulism. A specimen from the crib yielded Clostridium botulinum, as did four soil samples from the town and house-dust samples from the home of a relative of the second infant. The third infant developed infant botulism in September 1984. This infant had not shared the crib. In this case, all seven samples of soil from various locations in the town yielded C botulinum, as did a sample of house dust from the home of this infant. The occurrence of these three cases in such a small town seems unlikely to be only coincidental. Investigations and reports of other such clusters may provide insight into modes of transmission of infant botulism. (AJDC 1986;140:1013-1014) References 1. Arnon SS, Midura TF, Damus K, et al: Honey and other environmental risk factors for infant botulism . J Pediatr 1979;94:331-336.Crossref 2. Thompson JA, Glasgow LA, Warpinski JR, et al: Infant botulism: Clinical spectrum and epidemiology . Pediatrics 1980;66:936-942. 3. Long SS: Epidemiologie study of infant botulism in Pennsylvania: Report of the Infant Botulism Study Group . Pediatrics 1985;75:928-934. 4. Arnon SS, Damus K, Chin J: Infant botulism: Epidemiology and relation to sudden infant death syndrome . Epidemiol Rev 1981;3:45-66. 5. Hatheway CL: Laboratory procedures for cases of suspected infant botulism . Rev Infect Dis 1979;1:647-651.Crossref 6. Meyer KF, Dubousky BJ: The distribution of spores of C botulinum in the United States . J Infect Dis 1922;31:559-594.Crossref 7. Smith LDS: The occurrence of Clostridium botulinum and Clostridium tetani in the soil of the United States . Health Lab Sci 1978;15:74-80. 8. Arnon SS: Infant botulism . Annu Rev Med 1980;31:541-560.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1986 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1986.02140240059027
Publisher site
See Article on Publisher Site

Abstract

Abstract • Through Dec 31, 1985, there have been six cases of infant botulism reported in Colorado. Three of these infants have lived in the same town of 800 people in western Colorado. Two of these three infants developed infant botulism within a six-month period in late 1981. The infants lived approximately 400 m apart; they had used the same crib at the time each developed botulism. A specimen from the crib yielded Clostridium botulinum, as did four soil samples from the town and house-dust samples from the home of a relative of the second infant. The third infant developed infant botulism in September 1984. This infant had not shared the crib. In this case, all seven samples of soil from various locations in the town yielded C botulinum, as did a sample of house dust from the home of this infant. The occurrence of these three cases in such a small town seems unlikely to be only coincidental. Investigations and reports of other such clusters may provide insight into modes of transmission of infant botulism. (AJDC 1986;140:1013-1014) References 1. Arnon SS, Midura TF, Damus K, et al: Honey and other environmental risk factors for infant botulism . J Pediatr 1979;94:331-336.Crossref 2. Thompson JA, Glasgow LA, Warpinski JR, et al: Infant botulism: Clinical spectrum and epidemiology . Pediatrics 1980;66:936-942. 3. Long SS: Epidemiologie study of infant botulism in Pennsylvania: Report of the Infant Botulism Study Group . Pediatrics 1985;75:928-934. 4. Arnon SS, Damus K, Chin J: Infant botulism: Epidemiology and relation to sudden infant death syndrome . Epidemiol Rev 1981;3:45-66. 5. Hatheway CL: Laboratory procedures for cases of suspected infant botulism . Rev Infect Dis 1979;1:647-651.Crossref 6. Meyer KF, Dubousky BJ: The distribution of spores of C botulinum in the United States . J Infect Dis 1922;31:559-594.Crossref 7. Smith LDS: The occurrence of Clostridium botulinum and Clostridium tetani in the soil of the United States . Health Lab Sci 1978;15:74-80. 8. Arnon SS: Infant botulism . Annu Rev Med 1980;31:541-560.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Oct 1, 1986

References