Abstract
Bacillus cereus is a recognized agent of food-borne disease. In this report we describe an outbreak of B. cereus gastroenteritis associated with consumption of beef stew among patients and staff at a Rhode Island nursing home. The beef had been improperly stored after preparation. The predominant symptoms of the illness were cramps and diarrhea; it lasted an average of 16 h. No deaths occurred. The organism was recovered from 10 of 23 stools collected from ill patients and 1 of 21 stools collected from controls (P = 0.0044, Fisher's two-tailed exact test). All isolates had the same biotype and serotype, newly designated H.26; all elaborated the diarrheal B. cereus enterotoxin when tested in rabbits by the vascular permeability reaction; and all had identical plasmid profiles, which differed from those of B. cereus strains selected randomly from other outbreaks. Plasmid analysis may prove to be a useful new tool in investigating outbreaks of B. cereus food poisoning.
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- DACK G. M., SUGIYAMA H., OWENS F. J., KIRSNER J. B. Failure to produce illness in human volunteers fed Bacillus cereus and Clostridium perfringens. J Infect Dis. 1954 Jan-Feb;94(1):34–38. doi: 10.1093/infdis/94.1.34. [DOI] [PubMed] [Google Scholar]
- Giannella R. A., Brasile L. A hospital food-borne outbreak of diarrhea caused by Bacillus cereus: clinical, epidemiologic, and microbiologic studies. J Infect Dis. 1979 Mar;139(3):366–370. doi: 10.1093/infdis/139.3.366. [DOI] [PubMed] [Google Scholar]
- Gilbert R. J., Kramer J. M. Bacillus cereus enterotoxins: present status. Biochem Soc Trans. 1984 Apr;12(2):198–200. doi: 10.1042/bst0120198. [DOI] [PubMed] [Google Scholar]
- Gilbert R. J., Parry J. M. Serotypes of Bacillus cereus from outbreaks of food poisoning and from routine foods. J Hyg (Lond) 1977 Feb;78(1):69–74. doi: 10.1017/s0022172400055947. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jephcott A. E., Barton B. W., Gilbert R. J., Shearer C. W. An unusual outbreak of food-poisoning associated with meals-on-wheels. Lancet. 1977 Jul 16;2(8029):129–130. doi: 10.1016/s0140-6736(77)90133-7. [DOI] [PubMed] [Google Scholar]
- Kado C. I., Liu S. T. Rapid procedure for detection and isolation of large and small plasmids. J Bacteriol. 1981 Mar;145(3):1365–1373. doi: 10.1128/jb.145.3.1365-1373.1981. [DOI] [PMC free article] [PubMed] [Google Scholar]
- MANTEL N., HAENSZEL W. Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst. 1959 Apr;22(4):719–748. [PubMed] [Google Scholar]
- Mahony D. E., Stringer M. F., Borriello S. P., Mader J. A. Plasmid analysis as a means of strain differentiation in Clostridium perfringens. J Clin Microbiol. 1987 Jul;25(7):1333–1335. doi: 10.1128/jcm.25.7.1333-1335.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Melling J., Capel B. J., Turnbull P. C., Gilbert R. J. Identification of a novel enterotoxigenic activity associated with Bacillus cereus. J Clin Pathol. 1976 Oct;29(10):938–940. doi: 10.1136/jcp.29.10.938. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Meyers J. A., Sanchez D., Elwell L. P., Falkow S. Simple agarose gel electrophoretic method for the identification and characterization of plasmid deoxyribonucleic acid. J Bacteriol. 1976 Sep;127(3):1529–1537. doi: 10.1128/jb.127.3.1529-1537.1976. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Midura T., Gerber M., Wood R., Leonard A. R. Outbreak of food poisoning caused by Bacillus cereus. Public Health Rep. 1970 Jan;85(1):45–48. [PMC free article] [PubMed] [Google Scholar]
- Mortimer P. R., McCann G. Food-poisoning episodes associated with Bacillus cereus in fried rice. Lancet. 1974 May 25;1(7865):1043–1045. doi: 10.1016/s0140-6736(74)90434-6. [DOI] [PubMed] [Google Scholar]
- Ruhfel R. E., Robillard N. J., Thorne C. B. Interspecies transduction of plasmids among Bacillus anthracis, B. cereus, and B. thuringiensis. J Bacteriol. 1984 Mar;157(3):708–711. doi: 10.1128/jb.157.3.708-711.1984. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Taylor A. J., Gilbert R. J. Bacillus cereus food poisoning: a provisional serotyping scheme. J Med Microbiol. 1975 Nov;8(4):543–550. doi: 10.1099/00222615-8-4-543. [DOI] [PubMed] [Google Scholar]
- Terranova W., Blake P. A. Bacillus cereus food poisoning. N Engl J Med. 1978 Jan 19;298(3):143–144. doi: 10.1056/NEJM197801192980306. [DOI] [PubMed] [Google Scholar]
- Turnbull P. C., Jørgensen K., Kramer J. M., Gilbert R. J., Parry J. M. Severe clinical conditions associated with Bacillus cereus and the apparent involvement of exotoxins. J Clin Pathol. 1979 Mar;32(3):289–293. doi: 10.1136/jcp.32.3.289. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Turnbull P. C., Kramer J. M. Intestinal carriage of Bacillus cereus: faecal isolation studies in three population groups. J Hyg (Lond) 1985 Dec;95(3):629–638. doi: 10.1017/s0022172400060733. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Turnbull P. C., Kramer J. M., Jørgensen K., Gilbert R. J., Melling J. Properties and production characteristics of vomiting, diarrheal, and necrotizing toxins of Bacillus cereus. Am J Clin Nutr. 1979 Jan;32(1):219–228. doi: 10.1093/ajcn/32.1.219. [DOI] [PubMed] [Google Scholar]
- Turnbull P. C. Studies on the production of enterotoxins by Bacillus cereus. J Clin Pathol. 1976 Oct;29(10):941–948. doi: 10.1136/jcp.29.10.941. [DOI] [PMC free article] [PubMed] [Google Scholar]