一起由食用家庭自制辣椒酱引起肉毒中毒的实验室诊断
作者:
作者单位:

新疆维吾尔自治区疾病预防控制中心,新疆 乌鲁木齐 830002

作者简介:

孟卫卫 男 高级实验师 研究方向为食品卫生 E-mail:364387023@qq.com

通讯作者:

马鑫 女 主任医师 研究方向为食品卫生 E-mail:369819211@qq.com

中图分类号:

R155

基金项目:

新疆维吾尔自治区自然科学基金(2019D01C086)


Laboratory diagnosis of food poisoning due to Clostridium botulinum contamination of home-made food
Author:
Affiliation:

Center for Disease Prevention and Control of Xinjiang Uygur Autonomous Region, Xinjiang Urumqi 830002, China

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    摘要:

    目的 对1例疑似肉毒中毒病例的相关样品进行实验室检测。方法 参照GB 4789.12—2016对病例暴露食品样品(自制辣椒酱、咸菜、芝麻酱、卤猪蹄)和粪便标本进行前处理,应用实时荧光定量聚合酶链式反应(PCR)检测样品/标本中肉毒毒素基因,通过动物试验进行毒素检测和型别确认,经接种疱肉培养基和TPGYT培养基增菌培养,采用血琼脂平板进行分离、纯化,并做菌种鉴定。结果 5份样品/标本经实时荧光定量PCR法检测,仅在自制辣椒酱样品中检测到A型肉毒毒素基因;通过动物试验进行毒素检测,在自制辣椒酱样品中检测到A型肉毒毒素,其他样品/标本中未检测到肉毒毒素;5份样品/标本中,从自制辣椒酱和卤猪蹄样品中均分离到A型肉毒梭菌。结论 该起中毒事件是由食用肉毒梭菌污染的家庭自制辣椒酱引起。

    Abstract:

    Objective Laboratory analyses were performed for a case of food poisoning.Methods The potential foods involved (homemade chili sauce, pickles, sesame sauce, and marinated pig feet) and fecal samples were prepared according to GB 4789.12—2016. Clostridium botulinum neurotoxin gene was detected by real-time polymerase chain reaction (PCR). The detection and confirmation of the toxin were performed by animal experiments. After inoculation on blister meat and TPGYT media, bacteria were cultured, isolated, purified, and identified using blood agar medium.Results The chili sauce tested positive for gene producing type A botulinum toxin in five samples by real-time PCR. Type A botulinum toxin was detected only in chili sauce in animal experiments. Clostridium botulinum type A was isolated from chili sauce and marinated pig feet.Conclusion The food poisoning was attributed to the consumption of home-made chili sauce contaminated with Clostridium botulinum

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孟卫卫,李方,袁永和,田甜,林羽佳,苏静,马鑫.一起由食用家庭自制辣椒酱引起肉毒中毒的实验室诊断[J].中国食品卫生杂志,2023,35(5):763-767.

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  • 收稿日期:2022-01-11
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  • 在线发布日期: 2023-08-14
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