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Reoccurrence of botulinum neurotoxin subtype A3 inducing food-borne botulism, Slovakia, 2015
- Lucia Mad’arová1 , Brigitte G Dorner2,3 , Lars Schaade3 , Vladimír Donáth4 , Mária Avdičová1 , Milota Fatkulinová1 , Jozef Strhársky1 , Ivana Sedliačiková1 , Cyril Klement1,5 , Martin B Dorner2,3
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View Affiliations Hide AffiliationsAffiliations: 1 Regional Authority of Public Health Banská Bystrica, Banská Bystrica, Slovakia 2 Robert Koch Institute, Consultant laboratory for neurotoxin-producing clostridia (botulism, tetanus), Berlin, Germany 3 Robert Koch Institute, Centre for Biological Threats and Special Pathogens, Berlin, Germany 4 F. D. Roosevelt Teaching Hospital, Department of Neurology, Slovak Medical University, Banská Bystrica, Slovakia 5 Slovak Medical University, Faculty of Public Health, Bratislava, SlovakiaMartin Bernhard Dornerdornerm rki.de
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Citation style for this article: Mad’arová Lucia, Dorner Brigitte G, Schaade Lars, Donáth Vladimír, Avdičová Mária, Fatkulinová Milota, Strhársky Jozef, Sedliačiková Ivana, Klement Cyril, Dorner Martin B. Reoccurrence of botulinum neurotoxin subtype A3 inducing food-borne botulism, Slovakia, 2015. Euro Surveill. 2017;22(32):pii=30591. https://doi.org/10.2807/1560-7917.ES.2017.22.32.30591 Received: 10 Jun 2016; Accepted: 25 Nov 2016
Abstract
A case of food-borne botulism occurred in Slovakia in 2015. Clostridium botulinum type A was isolated from three nearly empty commercial hummus tubes. The product, which was sold in Slovakia and the Czech Republic, was withdrawn from the market and a warning was issued immediately through the European Commission’s Rapid Alert System for Food and Feed (RASFF). Further investigation revealed the presence of botulinum neurotoxin (BoNT) subtype BoNT/A3, a very rare subtype implicated in only one previous outbreak (Loch Maree in Scotland, 1922). It is the most divergent subtype of BoNT/A with 15.4% difference at the amino acid level compared with the prototype BoNT/A1. This makes it more prone to evading immunological and PCR-based detection. It is recommended that testing laboratories are advised that this subtype has been associated with food-borne botulism for the second time since the first outbreak almost 100 years ago, and to validate their immunological or PCR-based methods against this divergent subtype.
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