一起因食用硬皮马勃引起食物中毒事件的调查
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摘要
目的通过调查食物中毒事件,查找引起食源性疾病的病因,防止类似事件再次发生。方法根据《食品安全事故流行病学调查手册》统一印制的食物中毒事故个案调查表,采用流行病学回顾性调查方法,对食源性疾病病例进行调查,获取现场流行病学证据;结合临床特征、现场勘察、专家鉴定,确定致病因子。结果 4例患者有共同的午餐进食史;临床症状相似,均以恶心、眩晕为主;专家形态学的鉴定,食用的硬皮马勃具有致病性。结论这是一起因食用硬皮马勃引起的食物中毒事件。
Objective To find the cause of a food-borne disease by investigating the cases of food poisoning, so as to prevent similar incidents. Methods The unified food poisoning accident case questionnaire from the "Food Safety Accident Epidemiology Survey Manual" and the retrospective epidemiological survey method were used to investigate the cases of food-borne diseases, including on-site epidemiological evidences. The causative factor was confirmed by combining clinical features, site investigation and identification by experts. Results Four patients had the same exposure history of eating lunch. The clinical symptoms were similar, mainly nausea and dizziness. According to identification by the morphology experts, consumption of scleroderma was the cause. Conclusion This is a food poisoning case caused by eating scleroderma.
Objective To find the cause of a food-borne disease by investigating the cases of food poisoning, so as to prevent similar incidents. Methods The unified food poisoning accident case questionnaire from the "Food Safety Accident Epidemiology Survey Manual" and the retrospective epidemiological survey method were used to investigate the cases of food-borne diseases, including on-site epidemiological evidences. The causative factor was confirmed by combining clinical features, site investigation and identification by experts. Results Four patients had the same exposure history of eating lunch. The clinical symptoms were similar, mainly nausea and dizziness. According to identification by the morphology experts, consumption of scleroderma was the cause. Conclusion This is a food poisoning case caused by eating scleroderma.
引文
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[2] 密云概况.北京市密云区政府网[EB/OL].http://www.bjmy.gov.cn/mlmy/stmy/mygk/.
[3] 黄年来.中国大型真菌原色图鉴[M].北京:中国农业出版社,1998:234-235.
[4] 李玉,李泰辉,杨祝良,等. 中国大型菌物资源图鉴[M].郑州:中原农民出版社,2015:12.
[5] 杨建新,牛国强,魏斌. 一起食用野生蘑菇食物中毒的流行病学调查报告[J]. 医学动物防制,2017,33(5):569-570.
[6] 雷鸣,刘萍,李刚,等. 2012-2015年垫江县食物中毒事件分析[J]. 疾病监测与控制,2017,11(3):186-187.
[7] 邓慧颖. 两种高等真菌及一种内生真菌化学成分[D].河北大学,2011.
[8] 戴玉成,周丽伟,杨祝良,等. 中国食用菌名录[J]. 菌物学报,2010,29(1):1-21.
[9] Scleroderma citrinum Pers. Common Earthball[EB/OL]. http://www.first-nature.com/fungi/scleroderma-citrinum.php.
[10] KUO M.Scleroderma citrinum[EB/OL].(2004-12-1)[2017-8-22].http://www.mushroomexpert.com/scleroderma_citrinum.html.
[11] 韩冰雪.吉林省腹菌类物种多样性编目[D].吉林农业大学,2016.
[12] 张宏超,于伟霞,张蕾蕾,等.食用毒蘑菇引起的食物中毒调查[J].中国农村卫生,2015,(14):74-75.
[13] 周国营,张杰,郑德生,等. 2013年北京市密云县食源性疾病主动监测结果分析[J].首都公共卫生,2014,4 (24):21-23.