{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T09:44:15Z","timestamp":1784195055386,"version":"3.55.0"},"reference-count":60,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpeds.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Pediatrics"],"published-print":{"date-parts":[[2023,2]]},"DOI":"10.1016\/j.jpeds.2022.08.016","type":"journal-article","created":{"date-parts":[[2022,8,14]],"date-time":"2022-08-14T09:32:46Z","timestamp":1660469566000},"page":"8-13","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"special_numbering":"C","title":["Dual-Toxin (\u201cBivalent\u201d) Infant Botulism in California, 1976-2020: Epidemiologic, Clinical, and Laboratory Aspects"],"prefix":"10.1016","volume":"253","author":[{"given":"Mayuri V.","family":"Panditrao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Connie H.","family":"Chung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica M.","family":"Khouri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason R.","family":"Barash","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth N.","family":"Motter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nir","family":"Dover","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen S.","family":"Arnon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpeds.2022.08.016_bib1","doi-asserted-by":"crossref","first-page":"1946","DOI":"10.1001\/jama.1977.03270450036016","article-title":"Infant botulism: epidemiological, clinical, and laboratory aspects","volume":"237","author":"Arnon","year":"1977","journal-title":"JAMA"},{"key":"10.1016\/j.jpeds.2022.08.016_bib2","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1093\/infdis\/141.4.419","article-title":"Quantitative evidence of intestinal colonization by Clostridium botulinum in four cases of infant botulism","volume":"141","author":"Wilcke","year":"1980","journal-title":"J Infect Dis"},{"key":"10.1016\/j.jpeds.2022.08.016_bib3","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1093\/infdis\/156.6.997","article-title":"The large intestine as the site of Clostridium botulinum colonization in human infant botulism","volume":"156","author":"Mills","year":"1987","journal-title":"J Infect Dis"},{"key":"10.1016\/j.jpeds.2022.08.016_bib4","first-page":"370","article-title":"Type F infant botulism","volume":"13","author":"Hoffman","year":"1982","journal-title":"Am J Dis Child"},{"key":"10.1016\/j.jpeds.2022.08.016_bib5","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1128\/jcm.21.4.654-655.1985","article-title":"Isolation of an organism resembling Clostridium baratii which produces type F botulinal toxin from an infant with botulism","volume":"21","author":"Hall","year":"1985","journal-title":"J Clin Microbiol"},{"key":"10.1016\/j.jpeds.2022.08.016_bib6","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1093\/infdis\/154.2.207","article-title":"Two cases of type E infant botulism caused by neurotoxigenic Clostridium butyricum in Italy","volume":"154","author":"Aureli","year":"1986","journal-title":"J Infect Dis"},{"key":"10.1016\/j.jpeds.2022.08.016_bib7","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1128\/JCM.01420-09","article-title":"First report worldwide of an infant botulism case due to Clostridium botulinum type E","volume":"48","author":"L\u00faquez","year":"2010","journal-title":"J Clin Microbiol"},{"key":"10.1016\/j.jpeds.2022.08.016_bib8","doi-asserted-by":"crossref","first-page":"2.1","DOI":"10.1146\/annurev-biochem-013118-111654","article-title":"Botulinum and tetanus neurotoxins","volume":"88","author":"Dong","year":"2019","journal-title":"Ann Rev Biochem"},{"key":"10.1016\/j.jpeds.2022.08.016_bib9","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1124\/pr.116.012658","article-title":"Botulinum neurotoxins: biology, pharmacology and toxicology","volume":"69","author":"Pirazzini","year":"2017","journal-title":"Pharmacol Rev"},{"key":"10.1016\/j.jpeds.2022.08.016_bib10","doi-asserted-by":"crossref","first-page":"14130","DOI":"10.1038\/ncomms14130","article-title":"Identification and characterization of a novel botulinum neurotoxin","volume":"8","author":"Zhang","year":"2017","journal-title":"Nat Commun"},{"key":"10.1016\/j.jpeds.2022.08.016_bib11","doi-asserted-by":"crossref","first-page":"4518","DOI":"10.1038\/s41598-018-22842-4","article-title":"Structural characterisation of the catalytic domain of botulinum neurotoxin X\u2014high activity and unique substrate specificity","volume":"8","author":"Masuyer","year":"2018","journal-title":"Sci Rep"},{"key":"10.1016\/j.jpeds.2022.08.016_bib12","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1093\/infdis\/jit449","article-title":"A novel strain of Clostridium botulinum that produces type B and type H botulinum toxins","volume":"209","author":"Barash","year":"2014","journal-title":"J Infect Dis"},{"key":"10.1016\/j.jpeds.2022.08.016_bib13","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1093\/infdis\/jit450","article-title":"Molecular characterization of a novel botulinum neurotoxin type H gene","volume":"209","author":"Dover","year":"2014","journal-title":"J Infect Dis"},{"key":"10.1016\/j.jpeds.2022.08.016_bib14","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1093\/infdis\/jiv327","article-title":"A novel botulinum neurotoxin, previously reported as serotype H, has a hybrid-like structure with regions of similarity to the structures of serotypes A and F and is neutralized with serotype A antitoxin","volume":"213","author":"Maslanka","year":"2016","journal-title":"J Infect Dis"},{"key":"10.1016\/j.jpeds.2022.08.016_bib15","doi-asserted-by":"crossref","first-page":"3911","DOI":"10.1021\/ac504716v","article-title":"Functional characterization of botulinum neurotoxin serotype H as a hybrid of known serotypes F and A (BoNT F\/A)","volume":"87","author":"Kalb","year":"2015","journal-title":"Anal Chem"},{"key":"10.1016\/j.jpeds.2022.08.016_bib16","doi-asserted-by":"crossref","first-page":"e01275-14","DOI":"10.1128\/genomeA.01275-14","article-title":"Draft genome sequence of bivalent Clostridium botulinum strain IBCA10-7060, encoding botulinum neurotoxin B and a new FA mosaic type","volume":"2","author":"Gonzalez-Escalona","year":"2014","journal-title":"Genome Announc"},{"key":"10.1016\/j.jpeds.2022.08.016_bib17","doi-asserted-by":"crossref","first-page":"4805","DOI":"10.1128\/AEM.03109-09","article-title":"Sequence diversity of genes encoding botulinum neurotoxin type F","volume":"76","author":"Raphael","year":"2010","journal-title":"Appl Environ Microbiol"},{"key":"10.1016\/j.jpeds.2022.08.016_bib18","doi-asserted-by":"crossref","first-page":"3250","DOI":"10.1128\/AEM.00284-14","article-title":"Clostridium botulinum strains producing BoNT\/F4 or BoNT\/F5","volume":"80","author":"Raphael","year":"2014","journal-title":"Appl Environ Microbiol"},{"key":"10.1016\/j.jpeds.2022.08.016_bib19","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.pep.2015.01.014","article-title":"Expression and biochemical characterization of light chains of botulinum neurotoxin subtypes F5 and F7","volume":"111","author":"Guo","year":"2015","journal-title":"Protein Expr Purif"},{"key":"10.1016\/j.jpeds.2022.08.016_bib20","doi-asserted-by":"crossref","first-page":"19875","DOI":"10.1038\/srep19875","article-title":"Mechanism of substrate recognition by the novel botulinum neurotoxin subtype F5","volume":"6","author":"Guo","year":"2016","journal-title":"Sci Rep"},{"key":"10.1016\/j.jpeds.2022.08.016_bib21","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.febslet.2011.11.033","article-title":"Discovery of a novel enzymatic cleavage site for botulinum neurotoxin F5","volume":"586","author":"Kalb","year":"2012","journal-title":"FEBS Lett"},{"key":"10.1016\/j.jpeds.2022.08.016_bib22","doi-asserted-by":"crossref","first-page":"e00100","DOI":"10.1128\/mSphere.00100-15","article-title":"Purification and characterization of botulinum neurotoxin FA from a genetically modified Clostridium botulinum strain","volume":"1","author":"Pellett","year":"2016","journal-title":"mSphere"},{"key":"10.1016\/j.jpeds.2022.08.016_bib23","doi-asserted-by":"crossref","first-page":"195","DOI":"10.3390\/toxins10050195","article-title":"Purification and characterization of recombinant botulinum neurotoxin serotype FA, also known as serotype","volume":"10","author":"Hackett","year":"2018","journal-title":"H. Toxins (Basel)"},{"key":"10.1016\/j.jpeds.2022.08.016_bib24","doi-asserted-by":"crossref","first-page":"93","DOI":"10.3390\/toxins9030093","article-title":"Crystal structure of the receptor-binding domain of botulinum neurotoxin type HA, also known as type FA or H","volume":"9","author":"Yao","year":"2017","journal-title":"Toxins (Basel)"},{"key":"10.1016\/j.jpeds.2022.08.016_bib25","doi-asserted-by":"crossref","first-page":"e4552","DOI":"10.7717\/peerj.4552","article-title":"High resolution crystal structures of the receptor-binding domain of Clostridium botulinum neurotoxin serotypes A and FA","volume":"6","author":"Davies","year":"2018","journal-title":"PeerJ"},{"key":"10.1016\/j.jpeds.2022.08.016_bib26","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.toxicon.2017.12.048","article-title":"Substrate cleavage and duration of action of botulinum neurotoxin type FA (\u201cH, HA\u201d)","volume":"147","author":"Pellett","year":"2018","journal-title":"Toxicon"},{"key":"10.1016\/j.jpeds.2022.08.016_bib27","doi-asserted-by":"crossref","first-page":"fty044","DOI":"10.1093\/femspd\/fty044","article-title":"Structural and biochemical characterization of the protease domain of the mosaic botulinum neurotoxin type HA","volume":"76","author":"Lam","year":"2018","journal-title":"Pathog Dis"},{"key":"10.1016\/j.jpeds.2022.08.016_bib28","doi-asserted-by":"crossref","first-page":"1606","DOI":"10.1093\/infdis\/jiv770","article-title":"Immunological characterization and neutralizing ability of monoclonal antibodies directed against botulinum neurotoxin type H","volume":"213","author":"Fan","year":"2016","journal-title":"J Infect Dis"},{"key":"10.1016\/j.jpeds.2022.08.016_bib29","doi-asserted-by":"crossref","first-page":"9","DOI":"10.3390\/toxins12010009","article-title":"The novel clostridial neurotoxin produced by strain IBCA10-7060 is immunologically equivalent to BoNT\/HA","volume":"12","author":"Fan","year":"2019","journal-title":"Toxins (Basel)"},{"key":"10.1016\/j.jpeds.2022.08.016_bib30","doi-asserted-by":"crossref","first-page":"e0038321","DOI":"10.1128\/MRA.00383-21","article-title":"Closed genome sequence of Clostridium botulinum strain IBCA10-7060 type Bh","volume":"10","author":"Dover","year":"2021","journal-title":"Microbiol Resour Announc"},{"key":"10.1016\/j.jpeds.2022.08.016_bib31","first-page":"212","article-title":"Studies on strain 84 of Clostridium botulinum","volume":"215","author":"Gim\u00e9nez","year":"1970","journal-title":"Zentralbl Bakteriol Parasitenkd Infektionskr Hyg Abt 1 Orig"},{"key":"10.1016\/j.jpeds.2022.08.016_bib32","series-title":"Botulism and Tetanus Neurotoxins: Neurotransmission and Biomedical Aspects","first-page":"421","article-title":"Serological subtypes of botulinal neurotoxins","author":"Gim\u00e9nez","year":"1993"},{"key":"10.1016\/j.jpeds.2022.08.016_bib33","doi-asserted-by":"crossref","first-page":"e1271","DOI":"10.1371\/journal.pone.0001271","article-title":"Analysis of the neurotoxin complex genes in Clostridium botulinum A1-A4 and B1 strains: BoNT\/A3, \/Ba4 and B1 clusters are located within plasmids","volume":"2","author":"Smith","year":"2007","journal-title":"PLoS One"},{"key":"10.1016\/j.jpeds.2022.08.016_bib34","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1186\/1741-7007-7-66","article-title":"Recombination and insertion events involving the botulinum neurotoxin complex genes in Clostridium botulinum types A, B, E and F and Clostridium butyricum type E strains","volume":"7","author":"Hill","year":"2009","journal-title":"BMC Biol"},{"key":"10.1016\/j.jpeds.2022.08.016_bib35","doi-asserted-by":"crossref","first-page":"e4829.33e","DOI":"10.1371\/journal.pone.0004829","article-title":"Evidence that plasmid-borne botulinum neurotoxin type B genes are widespread among Clostridium botulinum serotype B strains","volume":"4","author":"Franciosa","year":"2009","journal-title":"PLoS One"},{"key":"10.1016\/j.jpeds.2022.08.016_bib36","doi-asserted-by":"crossref","first-page":"6094","DOI":"10.1128\/AEM.01009-09","article-title":"Neurotoxin gene clusters in Clostridium botulinum type Ab strains","volume":"75","author":"Luquez","year":"2009","journal-title":"Appl Environ Microbiol"},{"key":"10.1016\/j.jpeds.2022.08.016_bib37","doi-asserted-by":"crossref","first-page":"1711","DOI":"10.1093\/infdis\/jiu331","article-title":"Molecular epidemiology of infant botulism in California and elsewhere, 1976-2010","volume":"210","author":"Dabritz","year":"2014","journal-title":"J Infect Dis"},{"key":"10.1016\/j.jpeds.2022.08.016_bib38","doi-asserted-by":"crossref","first-page":"e73","DOI":"10.1542\/peds.2007-1827","article-title":"Global occurrence of infant botulism, 1976\u20132006","volume":"122","author":"Koepke","year":"2008","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpeds.2022.08.016_bib39","first-page":"85","article-title":"Case of infant botulism in Texas","volume":"73","author":"Edmond","year":"1977","journal-title":"Tex Med"},{"key":"10.1016\/j.jpeds.2022.08.016_bib40","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1128\/jcm.14.6.607-611.1981","article-title":"Atypical toxin variant of Clostridium botulinum type B associated with infant botulism","volume":"14","author":"Hatheway","year":"1981","journal-title":"J Clin Microbiol"},{"key":"10.1016\/j.jpeds.2022.08.016_bib41","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1136\/adc.64.6.871","article-title":"Infantile botulism","volume":"64","author":"Smith","year":"1989","journal-title":"Arch Dis Child"},{"key":"10.1016\/j.jpeds.2022.08.016_bib42","doi-asserted-by":"crossref","first-page":"1713","DOI":"10.1128\/JCM.42.4.1713-1715.2004","article-title":"Dual toxin-producing strain of Clostridium botulinum type Bf isolated from a California patient with infant botulism","volume":"42","author":"Barash","year":"2004","journal-title":"J Clin Microbiol"},{"key":"10.1016\/j.jpeds.2022.08.016_bib43","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1128\/JCM.02894-14","article-title":"First report of an infant botulism case due to Clostridium botulinum type Af","volume":"53","author":"de Jong","year":"2015","journal-title":"J Clin Microbiol"},{"key":"10.1016\/j.jpeds.2022.08.016_bib44","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.ijid.2020.11.131","article-title":"First confirmed case of infant botulism in Africa, caused by a dual-toxin-producing Clostridium botulinum strain","volume":"103","author":"Vosloo","year":"2021","journal-title":"Int J Infect Dis"},{"key":"10.1016\/j.jpeds.2022.08.016_bib45","doi-asserted-by":"crossref","first-page":"e61205","DOI":"10.1371\/journal.pone.0061205","article-title":"Clostridium botulinum strain Af84 contains three neurotoxin gene clusters: bont\/A2, bont\/F4 and bont\/F5","volume":"8","author":"Dover","year":"2013","journal-title":"PLoS One"},{"key":"10.1016\/j.jpeds.2022.08.016_bib46","doi-asserted-by":"crossref","first-page":"3254","DOI":"10.1021\/ac5001509","article-title":"Three enzymatically active neurotoxins of Clostridium botulinum strain Af84: BoNT\/A2, \/F4, and \/F5","volume":"86","author":"Kalb","year":"2014","journal-title":"Anal Chem"},{"key":"10.1016\/j.jpeds.2022.08.016_bib47","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.meegid.2014.12.002","article-title":"Genomic sequences of six botulinum neurotoxin-producing strains representing three clostridial species illustra the mobility and diversity of botulinum neurotoxin genes","volume":"30","author":"Smith","year":"2015","journal-title":"Infect Genet Evol"},{"key":"10.1016\/j.jpeds.2022.08.016_bib48","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1056\/NEJM197609302951407","article-title":"Syndrome of botulism in infancy: clinical and electrophysiologic study","volume":"295","author":"Pickett","year":"1976","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jpeds.2022.08.016_bib49","doi-asserted-by":"crossref","first-page":"934","DOI":"10.1016\/S0140-6736(76)90894-1","article-title":"Infant botulism: identification of Clostridium botulinum and its toxins in faeces","volume":"2","author":"Midura","year":"1976","journal-title":"Lancet"},{"key":"10.1016\/j.jpeds.2022.08.016_bib50","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.jpeds.2020.08.013","article-title":"Descriptive epidemiology of infant botulism in California: the first 40 years","volume":"227","author":"Panditrao","year":"2020","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpeds.2022.08.016_bib51","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1016\/j.jpeds.2020.07.014","article-title":"Seven-Year case-control study in California of risk factors for infant botulism","volume":"227","author":"Panditrao","year":"2020","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpeds.2022.08.016_bib52","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1016\/S0022-3476(79)80863-X","article-title":"Honey and other environmental risk factors for infant botulism","volume":"94","author":"Arnon","year":"1979","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpeds.2022.08.016_bib53","doi-asserted-by":"crossref","DOI":"10.3390\/toxins12050338","article-title":"Human botulism in\u00a0France, 1875-2016","volume":"12.","author":"Rasetti-Escargueil","year":"2020","journal-title":"Toxins"},{"key":"10.1016\/j.jpeds.2022.08.016_bib54","doi-asserted-by":"crossref","first-page":"1643","DOI":"10.1093\/gbe\/evw101","article-title":"Diversity of Group I and II Clostridium botulinum strains from France\u00a0including recently identified subtypes","volume":"8","author":"Mazuet","year":"2016","journal-title":"Genome Biol Evol"},{"key":"10.1016\/j.jpeds.2022.08.016_bib55","doi-asserted-by":"crossref","first-page":"30550","DOI":"10.2807\/1560-7917.ES.2017.22.24.30550","article-title":"Botulism in Italy, 1986 to 2015","volume":"22","author":"Anniballi","year":"2017","journal-title":"Euro Surveill"},{"key":"10.1016\/j.jpeds.2022.08.016_bib56","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1056\/NEJMoa051926","article-title":"Human Botulism Immune Globulin for the treatment of infant botulism","volume":"354","author":"Arnon","year":"2006","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jpeds.2022.08.016_bib57","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1542\/peds.2006-0646","article-title":"Creation and development of the public service orphan\u00a0drug Human Botulism Immune Globulin","volume":"119","author":"Arnon","year":"2007","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpeds.2022.08.016_bib58","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/j.jpeds.2017.10.035","article-title":"Efficacy of Human Botulism Immune Globulin for the treatment of infant botulism: the first 12 years post-licensure","volume":"193","author":"Payne","year":"2018","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpeds.2022.08.016_bib59","first-page":"29","article-title":"First outbreak of botulism caused by Clostridium botulinum subtype Af","volume":"18","author":"Fern\u00e1ndez","year":"1986","journal-title":"Rev Argent Microbiol"},{"key":"10.1016\/j.jpeds.2022.08.016_bib60","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/j.meegid.2015.08.042","article-title":"Genomic characterization of Italian Clostridium botulinum group I strains","volume":"36","author":"Giordani","year":"2015","journal-title":"Infect Genet Evol"}],"container-title":["The Journal of Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022347622007259?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022347622007259?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T09:14:10Z","timestamp":1758359650000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022347622007259"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2]]},"references-count":60,"alternative-id":["S0022347622007259"],"URL":"https:\/\/doi.org\/10.1016\/j.jpeds.2022.08.016","relation":{},"ISSN":["0022-3476"],"issn-type":[{"value":"0022-3476","type":"print"}],"subject":[],"published":{"date-parts":[[2023,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Dual-Toxin (\u201cBivalent\u201d) Infant Botulism in California, 1976-2020: Epidemiologic, Clinical, and Laboratory Aspects","name":"articletitle","label":"Article Title"},{"value":"The Journal of Pediatrics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpeds.2022.08.016","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}