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HCMCAfter poisoning with the botulinum bacteria in Minh Chay’s pate, all the patients had to be ventilated, one person was paralyzed, completely dependent on the ventilator.
At noon on August 30, Dr. Nguyen Van Vinh Chau, Director of the Ho Chi Minh City Hospital for Tropical Diseases, said that the Department of Active Resuscitation – Adult Antitoxicity of the hospital, is treating two cases of poisoning by botulinum. . They are two middle-aged sisters who live together in Long An and fall ill after eating Minh Chay pate.
Upon admission, two patients had symptoms of difficulty swallowing, unable to open their mouths. The disease progresses rapidly, systemic paralysis, paralysis of the respiratory muscles, requires mechanical ventilation. After more than two weeks of treatment, the younger brother is now recovering better, he is training to stop the ventilator, he can move his limbs but he is still weak.
“The older sister is heavier, awake, but can only move her limbs and lips. The patient is still completely dependent on the ventilator,” said Dr. Vinh Chau.
In Cho Ray HospitalFrom 24 to 30/7, the Department of Tropical Diseases, respectively, received five patients with palpebral collapse, paralysis of the respiratory muscles due to botulinum poisoning. In which, two people are husband and wife, the same 36-year-old, transferred from Khanh Hoa 24 hours a day, 7 days a week. The wife is 19 weeks pregnant.
Doctors Cho Ray said that on the afternoon of July 19, the couple ate Minh Chay pate. Two days later, they respectively presented symptoms of nausea, vomiting, difficulty swallowing, drooping eyelids … Upon entering Cho Ray, they were both awake, had good contact, had no fever, their eyelids completely collapsed. difficulty, difficulty swallowing, weak limbs, 2-4 / 5 muscle strength. After that, his shortness of breath increased, respiratory failure had to be intubated, ventilated on July 27.
The remaining three patients, aged 20 to 26, are friends, of whom two live in Dong Nai and one in Vung Tau. 24/7 ate Minh Chay pate together, hospitalized for slurred speech, droopy eyelids, difficulty swallowing, shortness of breath, weak limbs with 2 to 3/5 muscle strength. In Cho Ray, patients are awake but have difficulty breathing and must be ventilated.
Two boxes of paté Minh Chay that patients are half eaten are microorganisms transplanted at the HCMC Institute of Hygiene and Epidemiology. Results of the detection of the bacterium Clostridium botulinum.
Cho Ray Hospital patients are supported with mechanical ventilation, combined with plasmapheresis five times every other day, supplementing with B vitamins, nutrition and physical therapy … As of August 25, there are four patients. they are getting better. In particular, the 20-year-old patient with paralysis after two days improves quite well.
In addition to the above 7 patients, the Department of Food Safety, the Ministry of Health recorded two cases of poisoning from eating Minh Chay’s pate under treatment at the Bach Mai Hospital in Hanoi. The Department of Food Safety issued an emergency warning on the afternoon of August 29, informing people to stop eating this pate and, at the same time, if unusual symptoms appear after eating in the hospital immediately.
Pate Minh Chay Product of New Lifestyle Two-Member Co., Ltd. This company is based in Dong Anh City, Dong Anh District, Hanoi; production and online sale. The results of the initial tests showed that some Pate Minh Chay products, belonging to different batches, were infected with Clostridium botulinumtyp B.
The detected products contain intoxicating bacteria. Image: The Office of Food Safety provides.
Doctors at Cho Ray Hospital further reported that botulinum is a nerve-affecting poison, produced by Clostridium botulinum during the development process. This type of bacteria lives in an airless (anaerobic) environment. They have the ability to produce spores on their own, mixed in sandy soil. When there are favorable conditions, especially canned foods contaminated with bacteria, these spores will reactivate, reproduce, grow and create botulinum.
Patients can become intoxicated after 12 to 36 hours, or even longer, if they eat poisoned food. Common symptoms are abdominal pain, muscle pain, fatigue, blurred or double vision, dry mouth, slurred speech, trouble swallowing, droopy eyelids, general muscle weakness. Eventually, the patient has shortness of breath and cannot breathe due to paralysis of the respiratory muscles. These symptoms appear slowly or quickly depending on the amount of botulinum ingested.
Botulinum poisoning is a very dangerous condition. When paralyzed, despite aggressive treatment, this condition lasts for several months, possibly irreversible paralysis. Even if the patient does not receive prompt treatment.
In addition to entering the body by eating, Clostridium botulinum spores can also penetrate through wounds in the skin that are not kept clean. When wound healing creates an anaerobic environment, the spores can reactivate to produce botulinum venom, leading to poisoning.
Particularly for children, in the intestinal tract of babies, these bacterial spores can also develop, even if the ingested food is contaminated with non-canned spores, causing intoxication.
Letter Anh
