{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:40:22Z","timestamp":1777642822758,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2022,10,1]],"date-time":"2022-10-01T00:00:00Z","timestamp":1664582400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foodborne Pathogens and Disease"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:p>During September 2019, public health authorities in El Paso County, Colorado, were notified of four patients who had presented to nearby hospitals with clinical features consistent with botulism, a paralytic illness caused by botulinum neurotoxin. One patient died soon after presentation; the other three patients required intensive care but recovered after receiving botulism antitoxin. Botulinum toxin type A was detected in serum from all patients. On further investigation, all four patients had shared a meal that included commercially prepared roasted potatoes from an individual package without refrigeration instructions that had been left unrefrigerated for 15 d. Storage of the product at ambient temperature likely allowed botulism spores to produce botulinum toxin, resulting in severe illness and death. The manufacturer improved labeling in response to this outbreak. Public health officials should consider unrefrigerated potato products as a potential source of botulism; clinicians should consider botulism as a possible cause of paralytic illness.<\/jats:p>","DOI":"10.1089\/fpd.2022.0038","type":"journal-article","created":{"date-parts":[[2022,9,23]],"date-time":"2022-09-23T11:59:14Z","timestamp":1663934354000},"page":"713-715","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Outbreak of Foodborne Botulism Associated with a Commercially Produced Multipack Potato Product, Colorado: September 2019"],"prefix":"10.1177","volume":"19","author":[{"given":"Natalia","family":"Gayou","sequence":"first","affiliation":[{"name":"El Paso County Public Health, Colorado Springs, Colorado, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian D.","family":"Plumb","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, Georgia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslie","family":"Edwards","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, Georgia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Pomeroy","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, Georgia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel K.","family":"Herlihy","sequence":"additional","affiliation":[{"name":"Colorado Department of Public Health and Environment, Denver, Colorado, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robin","family":"Johnson","sequence":"additional","affiliation":[{"name":"El Paso County Public Health, Colorado Springs, Colorado, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly","family":"Pattison","sequence":"additional","affiliation":[{"name":"El Paso County Public Health, Colorado Springs, Colorado, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janet","family":"Dykes","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, Georgia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerardo A.","family":"G\u00f3mez","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, Georgia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0064-2172","authenticated-orcid":false,"given":"Rachel H.","family":"Jervis","sequence":"additional","affiliation":[{"name":"Colorado Department of Public Health and Environment, Denver, Colorado, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,10,12]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1086\/515615"},{"key":"e_1_3_4_3_1","unstructured":"Centers for Disease Control and Prevention: Botulism in the United States 1899\u20131996. Handbook for Epidemiologists Clinicians and Laboratory Workers. Centers for Disease Control and Prevention: Atlanta GA USA; 1998. Available from: https:\/\/www.cdc.gov\/botulism\/pdf\/bot-manual.pdf [Last accessed: May 27 2022]."},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1504\/TBJ.2012.050194"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1086\/379326"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2672.2006.02987.x"},{"key":"e_1_3_4_7_1","doi-asserted-by":"crossref","unstructured":"Peck MW. Clostridium botulinum. In: Pathogens and Toxins in Foods. (Sofos JN Juneja VK. eds.) 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