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ENTEROTOXIN B

INTRODUCTION

Staphylococcal Enterotoxin B is produced by a bacterium Staphylococcus aureus. It is a protein toxin that is more stable than botulinal toxins. It is even resistant to heat. It directly irritates the mucosa of the gastrointestinal tract, causing diarrhea, and stimulates the vagal and sympathetic nerves, causing vomiting.

Less than 1mg of Enterotoxin B is enough to incapacitate an adult. Fortunately, it is not lethal. Initial symptoms will show within 30min-7hour of ingesting contaminated food, sooner if airborne. The symptoms are increased salivation, severe nausea, vomiting, abdominal, watery diarrhea, prostration, lowered blood pressure, and dizziness.

The victim will usually recover within a day and death only occurs due to excessive dehydration.

PRECAUTIONS

The disease is not contagious so there is no need to isolate patients. Infants and debilitated persons are more susceptible to the dehydrating effects of the poisoning. Boiling does not destroy the disease so heat sterilization will not help.

No vaccine for the disease is presently available for human use. There are no recognized techniques for neutralization and decontamination. If aerosol exposure is anticipated, a gas mask is required. Also, avoid consuming contaminated food and water. There is no vaccine or treatments for the poisoning, the only thing one can do Is to provide fluids to prevent dehydration.

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