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SHR Neuro Cancer Cardio Lipid Metab Microb
Schreiber, N; Hackl, G; Reisinger, AC; Zollner-Schwetz, I; Eller, K; Schlagenhaufen, C; Pietzka, A; Czerwenka, C; Stark, TD; Kranzler, M; Fickert, P; Eller, P; Ehling-Schulz, M.
Acute Liver Failure after Ingestion of Fried Rice Balls: A Case Series of Bacillus cereus Food Poisonings.
Toxins (Basel). 2021; 14(1):
Doi: 10.3390/toxins14010012
(- Case Report)
[OPEN ACCESS]
Web of Science
PubMed
FullText
FullText_MUG
- Leading authors Med Uni Graz
- Eller Philipp
- Schreiber Nikolaus
- Co-authors Med Uni Graz
- Eller Kathrin
- Fickert Peter
- Hackl Gerald
- Reisinger Alexander Christian
- Zollner-Schwetz Ines
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- Abstract:
- Bacillus cereus foodborne intoxications and toxicoinfections are on a rise. Usually, symptoms are self-limiting but occasionally hospitalization is necessary. Severe intoxications with the emetic Bacillus cereus toxin cereulide, which is notably resistant heat and acid during cooking, can cause acute liver failure and encephalopathy. We here present a case series of food poisonings in five immunocompetent adults after ingestion of fried rice balls, which were massively contaminated with Bacillus cereus. The patients developed a broad clinical spectrum, ranging from emesis and diarrhoea to life-threatening acute liver failure and acute tubular necrosis of the kidney in the index patient. In the left-over rice ball, we detected 8 × 106Bacillus cereus colony-forming units/g foodstuff, and cereulide in a concentration of 37 μg/g foodstuff, which is one of the highest cereulide toxin contaminations reported so far from foodborne outbreaks. This report emphasizes the potential biological hazard of contaminated rice meals that are not freshly prepared. It exemplifies the necessity of a multidisciplinary approach in cases of Bacillus cereus associated food poisonings to rapidly establish the diagnosis, to closely monitor critically ill patients, and to provide supportive measures for acute liver failure and-whenever necessary-urgent liver transplantation.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult - administration & dosage
- Austria - administration & dosage
- Bacillus cereus - administration & dosage
- Depsipeptides - analysis
- Foodborne Diseases - microbiology
- Humans - administration & dosage
- Liver Failure, Acute - microbiology
- Male - administration & dosage
- Oryza - microbiology
- Find related publications in this database (Keywords)
- acute liver failure
- fulminant hepatic failure
- food poisoning
- Bacillus cereus
- cereulide