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Volume 10, Number 9—September 2004

Dispatch

Botulism Type E Outbreak Associated with Eating a Beached Whale, Alaska

Joseph B. Mclaughlin*, Jeremy Sobel*, Tracey Lynn†, Elizabeth Funk‡, and John P. Middaugh‡
Author affiliations: *Centers for Disease Control and Prevention, Atlanta, Georgia, USA; †United States Department of Agriculture, Fort Collins, Colorado, USA; ‡Alaska Department of Health and Social Services, Anchorage, Alaska, USA

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Table

Signs and symptoms of eight case-patients from a botulism outbreak associated with eating a beached whale, western Alaska, July 2002

Sequelae No. (%)
Gastrointestinal symptoms
  Abdominal pain 5 (63)
  Constipation 5 (63)
  Diarrhea 4 (50)
  Nausea or vomiting 7 (88)
Neurologic symptoms
  Blurred vision 5 (63)
  Diplopia 1 (13)
  Dry mouth 7 (88)
  Dysphagia 6 (75)
  Dysarthria 4 (50)
  Shortness of breath 5 (63)
Other symptoms
  Throat pain 3 (38)
  Dizziness 6 (75)
Neurologic signs
  Hoarse voice 5 (63)
  Ptosis 2 (25)
  Pupils fixed and dilated 5 (63)
  Urinary retention 1 (13)
  Weakness 8 (100)
Other signs
  Bradycardiaa 4 (50)
  Hypotensionb 6 (75)

aHeart rate <60 beats per minute.
bSystolic blood pressure <100 mm Hg.

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