title: Foodborne botulinum type E intoxication associated with dried bean curd: first case report in Taiwan.
abstract: OBJECTIVE
  Botulism type E intoxication is a rare condition among human botulism. We aim to describe a first case of botulism type E intoxication in Taiwan.
  
  
  METHODS
  We report a 36-year-old young man with foodborne botulism type E associated with commercially vacuum packaged dried bean curd. He developed bilateral ptosis, diplopia and dysphagia 4 days after taking the dried bean curd. Electrophysiologic findings demonstrated waxing responses to 3 Hz repetitive nerve stimulation and decreased compound muscle action potentials on peripheral nerve conduction study. A bioassay for botulism in mice demonstrated that the patient had botulism caused by type E botulinum toxin. Antibodeis to C. botulinum type E were identified from his serum, confirming the diagnosis.
  
  
  CONCLUSIONS
  This is the first known case of foodborne type E botulism in Taiwan. The potential source of this foodborne botulism should consider contaminated food made of soy beans.
authors: Department of Neurology, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan.
authors: Lung-Shiang
authors: LS
authors: Lai
authors: Yi-Mei
authors: YM
authors: Wang
authors: Chin-Hsien
authors: CH
authors: Lin
mesh_terms: D000328:Adult; D001905:Botulinum Toxins / Q000506:poisoning*; D001906:Botulism / Q000209:etiology*; D005516:Food Microbiology; D018857:Food Packaging; D006801:Humans; D008297:Male; D045730:Soy Foods / Q000506:poisoning*; D013624:Taiwan
chemical_list: D001905:Botulinum Toxins; C096326:botulinum toxin type E