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-
1
Arnon S, Schechter C, Inglesby TV, Henderson DA, Bartlett JG, Axcher MS, Eitzen E, Fine AD, Hauer J, Laytoon M, Lillbridge S, Osterholm MT, O’Toole T, Parker G, Perl TM, Russell PK, Swerdlow DL, Tonat K; Working Group on Civilian Biodefense, 2001. Botulinum toxin as a biological weapon: medical and public health management. JAMA 285 :1059–1070.
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2
Shapiro RL, Hatheway C, Becher J, Swerdlow DL, 1997. Botulism surveillance and emergency response: a public health strategy for a global challenge. JAMA 278 :433–435.
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3
Cherington M, 2004. Botulism: update and review. Semin Neurol 24 :155–163.
-
4
Tacket CO, Shandera WX, Mann JM, Hargrett NT, Blake PA, 1984. Equine antitoxin used and other factors that predict outcome in type A foodborne botulism. Am J Med 76 :794–798.
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5
Varma JK, Katsitadze G, Moiscrafishvili M, Zardiashvili T, Chokheli M, Tarkhashvili N, Jhorjholiani E, Chubinidze M, Kukhalashvili T, Khmaladze I, Chakvetadze N, Imnadze P, Hoekstra M, Sobel J, 2004. Signs and symptoms predictive of death in patients with foodborne botulism-Republic of Georgia, 1980– 2002. Clin Infect Dis 39 :357–362.
-
6
Centers for Diseases Control and Prevention, 2006. Botulism from home-canned bamboo shoots – Nan Province, Thailand, March 2006. MMWR Morb Mortal Wkly Rep 55 :389–392.
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7
Kongsaengdao S, Samintarapanya K, Rusmeechan S, Wongsa A, Pothirat C, Permpikul C, Pongpakdee S, Puavilai W, Kateruttanakul P, Phengtham U, Panjapornpon P, Janma J, Piyavechviratana K, Sithinamsuwan P, Deesomchok A, Tongyoo S, Vilaichone W, Boonyapisit K, Mayotarn S, Piya-Isragul B, Rattanaphon A, Intalapaporn P, Dusitanond P, Harnsomburana P, Laowittawas W, Chairangsaris P, Suwantamee J, Wongmek W, Ratanarat R, Poompichate A, Panyadilok H, Sutcharitchan N, Chuesuwan A, Oranrigsupau P, Sutthapas C,Tanprawate S, Lorsuwansiri J, Phattana N; Thai Botulism Study Group, 2006. An outbreak of botulism in Thailand: clinical manifestations and management of severe respiratory failure. Clin Infect Dis 43 :1247–1256.
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8
Breiman L, Friedman JH, Olshen RA, Stone CJ, 1984. Classification and Regression Tree. Belmont, CA: Wadsworth International.
-
9
Schmidt-Nowara WW, Samet JM, Rosario PA, 1983. Early and late complications of botulism. Arch Intern Med 143 :451–456.
-
10
Paust J, 1971. Respiratory care in acute botulism: a report of four cases. Anesth Analg 50 :1003–1009.
-
11
Christian E, Murin S, Murin S, 2001. Clinical predictors of respiratory failure and long-term outcomes in black tar heroin-associated wound botulism. Chest 120 :562–566.
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12
Swaddiwudhipong W, Wongwatcharapaiboon P, 2000. Food-borne botulism outbreaks following consumption of home-canned bamboo shoots in northern Thailand. J Med Assoc Thai 83 :1021–1025.
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13
Centers for Disease Control and Prevention, 1999. Foodborne botulism associated with home-canned bamboo shoots— Thailand. MMWR Morb Mortal Wkly Rep 48 :437–439.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 115 | 61 | 6 |
| Full Text Views | 151 | 2 | 0 |
| PDF Downloads | 44 | 7 | 0 |
Signs and Symptoms Predictive of Respiratory Failure in Patients with Foodborne Botulism in Thailand
Manas Wongtanate
Manas Wongtanate
Department of Medicine, Nan Hospital, Nan, Thailand; Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
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Niwatchai Sucharitchan
Niwatchai Sucharitchan
Department of Medicine, Nan Hospital, Nan, Thailand; Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
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Kanit Tantisiriwit
Kanit Tantisiriwit
Department of Medicine, Nan Hospital, Nan, Thailand; Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
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Petchdee Oranrigsupak
Petchdee Oranrigsupak
Department of Medicine, Nan Hospital, Nan, Thailand; Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
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Aphinya Chuesuwan
Aphinya Chuesuwan
Department of Medicine, Nan Hospital, Nan, Thailand; Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
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Sukumal Toykeaw
Sukumal Toykeaw
Department of Medicine, Nan Hospital, Nan, Thailand; Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
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Yupin Suputtamongkol
Yupin Suputtamongkol
Department of Medicine, Nan Hospital, Nan, Thailand; Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
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We conducted a clinical study of 137 patients with home-canned bamboo shoot botulism at Nan Hospital, northern Thailand. The median age of the patients was 44 years (range = 14–74 years) and 36.2% were male. The median incubation period was 2 days (range = 1–8 days). Forty-three patients (31.4%) developed respiratory failure, but there were no deaths. Patients who did not have either nausea or vomiting and did not have urinary retention that required Foley catherization was less likely to develop respiratory failure. This clinical predictor rule had a sensitivity of 75.5% and a specificity of 90.7%. The clinical syndrome most predictive of respiratory failure was nausea or vomiting and any cranial neuropathy with urinary retention or difficulty swallowing. This clinical syndrome had a sensitivity of 69.8% and a specificity of 93.6%. These clinical characteristics could help triage large numbers of patient in the event of a future outbreak.
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-
1
Arnon S, Schechter C, Inglesby TV, Henderson DA, Bartlett JG, Axcher MS, Eitzen E, Fine AD, Hauer J, Laytoon M, Lillbridge S, Osterholm MT, O’Toole T, Parker G, Perl TM, Russell PK, Swerdlow DL, Tonat K; Working Group on Civilian Biodefense, 2001. Botulinum toxin as a biological weapon: medical and public health management. JAMA 285 :1059–1070.
-
2
Shapiro RL, Hatheway C, Becher J, Swerdlow DL, 1997. Botulism surveillance and emergency response: a public health strategy for a global challenge. JAMA 278 :433–435.
-
3
Cherington M, 2004. Botulism: update and review. Semin Neurol 24 :155–163.
-
4
Tacket CO, Shandera WX, Mann JM, Hargrett NT, Blake PA, 1984. Equine antitoxin used and other factors that predict outcome in type A foodborne botulism. Am J Med 76 :794–798.
-
5
Varma JK, Katsitadze G, Moiscrafishvili M, Zardiashvili T, Chokheli M, Tarkhashvili N, Jhorjholiani E, Chubinidze M, Kukhalashvili T, Khmaladze I, Chakvetadze N, Imnadze P, Hoekstra M, Sobel J, 2004. Signs and symptoms predictive of death in patients with foodborne botulism-Republic of Georgia, 1980– 2002. Clin Infect Dis 39 :357–362.
-
6
Centers for Diseases Control and Prevention, 2006. Botulism from home-canned bamboo shoots – Nan Province, Thailand, March 2006. MMWR Morb Mortal Wkly Rep 55 :389–392.
-
7
Kongsaengdao S, Samintarapanya K, Rusmeechan S, Wongsa A, Pothirat C, Permpikul C, Pongpakdee S, Puavilai W, Kateruttanakul P, Phengtham U, Panjapornpon P, Janma J, Piyavechviratana K, Sithinamsuwan P, Deesomchok A, Tongyoo S, Vilaichone W, Boonyapisit K, Mayotarn S, Piya-Isragul B, Rattanaphon A, Intalapaporn P, Dusitanond P, Harnsomburana P, Laowittawas W, Chairangsaris P, Suwantamee J, Wongmek W, Ratanarat R, Poompichate A, Panyadilok H, Sutcharitchan N, Chuesuwan A, Oranrigsupau P, Sutthapas C,Tanprawate S, Lorsuwansiri J, Phattana N; Thai Botulism Study Group, 2006. An outbreak of botulism in Thailand: clinical manifestations and management of severe respiratory failure. Clin Infect Dis 43 :1247–1256.
-
8
Breiman L, Friedman JH, Olshen RA, Stone CJ, 1984. Classification and Regression Tree. Belmont, CA: Wadsworth International.
-
9
Schmidt-Nowara WW, Samet JM, Rosario PA, 1983. Early and late complications of botulism. Arch Intern Med 143 :451–456.
-
10
Paust J, 1971. Respiratory care in acute botulism: a report of four cases. Anesth Analg 50 :1003–1009.
-
11
Christian E, Murin S, Murin S, 2001. Clinical predictors of respiratory failure and long-term outcomes in black tar heroin-associated wound botulism. Chest 120 :562–566.
-
12
Swaddiwudhipong W, Wongwatcharapaiboon P, 2000. Food-borne botulism outbreaks following consumption of home-canned bamboo shoots in northern Thailand. J Med Assoc Thai 83 :1021–1025.
-
13
Centers for Disease Control and Prevention, 1999. Foodborne botulism associated with home-canned bamboo shoots— Thailand. MMWR Morb Mortal Wkly Rep 48 :437–439.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 115 | 61 | 6 |
| Full Text Views | 151 | 2 | 0 |
| PDF Downloads | 44 | 7 | 0 |