Reoccurrence of botulinum neurotoxin subtype A3 inducing food-borne botulism, Slovakia, 2015

Euro Surveill. 2017 Aug 10;22(32):30591. doi: 10.2807/1560-7917.ES.2017.22.32.30591.

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 The product, which was sold in Slovakia and the Czech Republic, was withdrawn from the market and a warning was issued immediately through the European Commission's Rapid Alert System for Food and Feed (RASFF).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.

Keywords: Botulism; Clostridium botulinum; commercial; food-borne; hummus; subtype A3.

MeSH terms

  • Botulinum Toxins, Type A / genetics*
  • Botulinum Toxins, Type A / metabolism*
  • Botulism / diagnosis*
  • Botulism / epidemiology*
  • Botulism / microbiology
  • Clostridium botulinum type A / genetics
  • Clostridium botulinum type A / isolation & purification*
  • Czech Republic / epidemiology
  • Disease Outbreaks*
  • Humans
  • Polymerase Chain Reaction
  • Slovakia / epidemiology

Substances

  • Botulinum Toxins, Type A