2. INFECTIOUS AGENT

Foodborne botulism is caused by toxins produced by Clostridium botulinum (see picture), a spore forming obligate anaerobic bacillus. A few nanograms of the toxin can cause illness. Most human outbreaks are due to types A, B, F and rarely to type F. Type G has been isolated from soil and autopsy specimens but an etiologic role in botulism has not been established. Type F outbreaks are usually related to fish, seafood and meat from marine mammals.

Toxin is produced in improperly processed, canned, low acid or alkaline foods, and in pasteurized and lightly cured foods held without refrigeration, especially in airtight packaging. The toxin is destroyed by boiling; inactivation of spores requires much higher temperatures. Type E toxin can be produced slowly at temperatures as low as 3oC (37.4oF), which is lower than that of ordinary refrigeration.

Most cases of infant botulism have been caused by type A or B. A few cases (toxin types F and F) have been reported from neurotoxigenic clostridial species C. buryricum and C. baratii respectively.