Food-borne botulism outbreak during the Rugby World Cup linked to marinated sardines in Bordeaux, France, September 2023

Author:

Courtot-Melciolle Léa1,Jauvain Marine2,Siefridt Mona1,Prevel Renaud31,Peuchant Olivia2,Guisset Olivier1,Mourissoux Gaëlle1,Diancourt Laure4,Mazuet Christelle4,Delvallez Gauthier4,Boyer Alexandre31,Orieux Arthur1ORCID

Affiliation:

1. Medical Intensive Care Unit, CHU Bordeaux, Bordeaux, France

2. Bacteriology Department, CHU Bordeaux, Bordeaux, France

3. INSERM UMR 1045, Centre de Recherche Cardio-Thoracique de Bordeaux, Bordeaux University, Bordeaux, France

4. National Reference Center for Anaerobic Bacteria and Botulism, Institut Pasteur, Université Paris Cité, Paris, France

Abstract

In September 2023, a botulism outbreak affecting 15 individuals occurred in Bordeaux, France, during the Rugby World Cup. We report on eight individuals from four different countries on two continents admitted to the intensive care unit at our hospital, where six required invasive mechanical ventilation. Cases reported consuming locally produced canned sardines at a restaurant. This report highlights the importance of rapid, worldwide alerts from health authorities to prevent severe consequences of such outbreaks, particularly during events attracting international visitors.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference19 articles.

1. Préfet de la Gironde/Agence Régionale de Santé Nouvelle Aquitaine. Intoxication alimentaire : signalement de 7 cas probables de botulisme dont 6 sont pris en charge au CHU de Bordeaux. [Food poisoning: report of 7 probable cases of botulism, 6 of which are being treated at Bordeaux University Hospital]. Bordeaux: Préfet de la Gironde/Agence Régionale de Santé Nouvelle Aquitaine; 2023. French. Available from: https://www.gironde.gouv.fr/Actualites/Communiques-de-presse/Communiques-de-presse-2023/Septembre-2023/Intoxication-alimentaire-signalement-de-7-cas-probables-de-botulisme

2. Current developments in diagnostic assays for laboratory confirmation and investigation of botulism.;Centurioni;J Clin Microbiol,2022

3. Application of high-density DNA resequencing microarray for detection and characterization of botulinum neurotoxin-producing clostridia.;Vanhomwegen;PLoS One,2013

4. Direction Générale de la Santé. DGS-Urgent N°2023_15. Intoxication alimentaire grave : plusieurs cas de botulisme en lien avec la fréquentation d’un restaurant à Bordeaux. [Severe food poisoning: several cases of botulism linked to visiting a restaurant in Bordeaux]. Bordeaux: Centre opérationnel de régulation et de réponse aux urgences sanitaires et sociales; 2023. French. Available from: https://sante.gouv.fr/IMG/pdf/dgs-urgent_2023-15_-_intoxication_alimentaire_grave_-_plusieurs_cas_de_botulisme.pdf

5. Santé Publique France. Urgence Intoxication alimentaire grave : 10 cas de botulisme, dont 8 hospitalisés et 1 décès, liés à la fréquentation d’un restaurant à Bordeaux. [Emergency severe food poisoning: 10 cases of botulism, including eight hospitalized and one death, linked to frequenting a restaurant in Bordeaux]. Bordeaux: Santé Publique France; 2023. French. Available from: https://www.santepubliquefrance.fr/presse/2023/urgence-intoxication-alimentaire-grave-10-cas-de-botulisme-dont-8-hospitalises-et-1-deces-lies-a-la-frequentation-d-un-restaurant-a-bordeaux

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