A Case of Emetic Toxin Producing<i>Bacillus cereus</i>Strains Isolated from Outbreak

Jong Hyun Kim, Eun Gyoung Lim, Hyun Chul Jang, Ju Young Park, Sun Jin Lee, Mi Sun Park, Gil Bae Choi, Bok Kwon Lee

Korean Journal of Clinical Microbiology · 2009 · 16 citations · 8 references

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Abstract

Bacillus cereus causes two types of gastrointestinal diseases: emesis and diarrhea. It produces one emetic toxin and nine different enterotoxins. In March 2008, eight of a family became sick after eating slices of raw fish. We isolated emetic toxin producing B. cereus from the stools of 6 patients and 2 sub-clincal humans. In this study, the presence of enterotoxin genes, such as those of haemolysin BL (Hbl), nonhemolytic enterotoxin (Nhe), B. cereus enterotoxin T (BceT), enterotoxin FM (EntFM), cytotoxin K (cytK) and cereulide were assayed by polymerase chain reaction (PCR) methods. Their enterotoxin activities were assayed using the BCET- RPLA, Tecra ELISA kit and Hep-2 vacuole activity. Bacterial isolates were subtyped by pulsed-field gel electrophoresis (PFGE). This study demonstrates the emetic toxin-producing stains of B. cereus in clinical specimens, for the first time in the Republic of Korea.

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