0521779407-07 CUNY1086/Karliner 0 521 77940 7 June 4, 2007 21:10
Food Poisoning 587■Predominantly extra-GI and neurologic symptoms
➣Insecticides
➣Mushrooms and plant toxins
➣Monosodium glutamate
➣Shellfish
➣Scromboid
■Incubation period 1–7 hours
➣Predominantly UGI symptoms, nausea, vomiting
➣S. aureus
➣B. cerus
➣Acute gastric anisakiasis (up to 12 hr after ingestion)
■Predominantly extra-GI and neurologic symptoms
➣Shellfish Ciguatera
Incubation period 8–14 hours
■Noninflammatory diarrhea
➣C. perfringens
➣B. ceueus
Incubation period >14 hours
■Predominantly UGI symptoms, nausea, vomiting
➣Norwalk virus
■Noninflammatory diarrhea
➣ETEC
➣V. cholerae
➣G. lamblia
➣Norwalk virus
■Inflammatory diarrhea
➣Salmonella
➣Shigella
➣Campylobacter
➣Invasive E. coli
➣V. parahaemolyticus
➣E. histolytica
■Predominantly extra-GI and neurologic symptoms
➣Botulismmanagement
What to Do First
■Recognize high-risk patients: neuromuscular symptoms, seizures,
immunocompromised, cirrhotic
■Recognize high-risk ingestion: mushrooms, seafood
■Assess severity of disease and administer supportive care