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Multi-organ failure caused by lasagnas: A case report of Bacillus cereus food poisoning

2022; Frontiers Media; Volume: 10; Linguagem: Inglês

10.3389/fped.2022.978250

2296-2360

Marin Théry, Vladimir L. Cousin, Pierre Tissières, Maxime Enault, Luc Morin,

Microbial Inactivation Methods

We report a Bacillus cereus , cereulide producing strain, food poisoning of two sisters. After eating a few bites of pasta cooked 3 days earlier, a 13-year-old girl developed mild symptoms. However, her 11-year-old sister suffered, 40 h after ingestion of the entire platter, a multi-organ failure including acute liver failure, rhabdomyolysis, disseminated intravascular coagulation, and acute kidney injury (AKI). She received supportive care in pediatric intensive care using mechanical ventilation, hemofiltration, and high-doses vasopressors. She was specifically treated for toxin-mediated disease using blood purification and further digestive decontamination. This report highlights the potential severity of B. cereus food poisoning but also a successful dual treatment including toxin removal and antimicrobial treatment to prevent toxin production.