{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T20:33:08Z","timestamp":1778790788799,"version":"3.51.4"},"reference-count":17,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,8,24]],"date-time":"2021-08-24T00:00:00Z","timestamp":1629763200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p>Botulism is typically described as a rapidly progressing, severe neuroparalytic disease. Foodborne botulism is transmitted through consuming food or drink that has been contaminated with botulinum toxin. During a botulism outbreak linked to illicitly brewed alcohol (also known as \u201chooch\u201d or \u201cpruno\u201d) in a prison, 11 (35%) of 31 inmates that consumed contaminated hooch had mild illnesses. This includes 2 inmates with laboratory confirmed botulism. The most frequently reported signs and symptoms among the 11 patients with mild illness included dry mouth (91%), hoarse voice (91%), difficulty swallowing (82%), fatigue (82%), and abdominal pain (82%). Foodborne botulism is likely underdiagnosed and underreported in patients with mild illness. Botulism should be considered on the differential diagnosis for patients with cranial nerve palsies.<\/jats:p>","DOI":"10.3389\/fpubh.2021.716615","type":"journal-article","created":{"date-parts":[[2021,8,24]],"date-time":"2021-08-24T06:10:52Z","timestamp":1629785452000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":7,"title":["Mild Botulism From Illicitly Brewed Alcohol in a Large Prison Outbreak in Mississippi"],"prefix":"10.3389","volume":"9","author":[{"given":"Mariel","family":"Marlow","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslie","family":"Edwards","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsey","family":"McCrickard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise K.","family":"Francois Watkins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jannifer","family":"Anderson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheryl","family":"Hand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janet","family":"Dykes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Byers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Chatham-Stephens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2021,8,24]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1167","DOI":"10.1086\/444507","article-title":"Botulism","volume":"41","author":"Sobel","year":"2005","journal-title":"Clin Infect Dis."},{"key":"B2","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1007\/164_2020_355","article-title":"Botulinum neurotoxins: mechanism of action","volume":"263","author":"Rossetto","year":"2021","journal-title":"Handb Exp Pharmacol."},{"key":"B3","doi-asserted-by":"publisher","first-page":"S43","DOI":"10.1093\/cid\/cix815","article-title":"Efficacy of antitoxin therapy in treating patients with foodborne botulism: a systematic review and meta-analysis of cases, 1923-2016","volume":"66","author":"O'Horo","year":"2017","journal-title":"Clin Infect Dis."},{"key":"B4","doi-asserted-by":"publisher","first-page":"337","DOI":"10.2147\/OTT.S154589","article-title":"The clinical characteristics and prognostic analysis of Chinese advanced NSCLC patients based on circulating tumor DNA sequencing","volume":"11","author":"Rao","year":"2018","journal-title":"Onco Targets Ther."},{"key":"B5","doi-asserted-by":"publisher","first-page":"558","DOI":"10.7326\/0003-4819-125-7-199610010-00004","article-title":"An outbreak of type A botulism associated with a commercial cheese sauce","volume":"125","author":"Townes","year":"1996","journal-title":"Ann Intern Med."},{"key":"B6","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1086\/515615","article-title":"A large outbreak of botulism: the hazardous baked potato","volume":"178","author":"Angulo","year":"1998","journal-title":"J Infect Dis."},{"key":"B7","doi-asserted-by":"publisher","first-page":"1490","DOI":"10.1086\/379326","article-title":"An outbreak of foodborne botulism associated with food sold at a salvage store in Texas","volume":"37","author":"Kalluri","year":"2003","journal-title":"Clin Infect Dis."},{"key":"B8","doi-asserted-by":"publisher","first-page":"e14","DOI":"10.1086\/518993","article-title":"Outbreak of clinically mild botulism type E illness from home-salted fish in patients presenting with predominantly gastrointestinal symptoms","volume":"45","author":"Sobel","year":"2007","journal-title":"Clin Infect Dis."},{"key":"B9","doi-asserted-by":"publisher","first-page":"69","DOI":"10.3201\/eid1501.081024","article-title":"Botulism from drinking pruno","volume":"15","author":"Vugia","year":"2009","journal-title":"Emerg Infect Dis."},{"key":"B10","first-page":"782","article-title":"Botulism from drinking prison-made illicit alcohol - Utah 2011","volume":"61","year":"2012","journal-title":"MMWR Morb Mortal Wkly Rep."},{"key":"B11","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1177\/1078345815604752","article-title":"Outbreak of botulism after consumption of illicit prison-brewed alcohol in a maximum security prison\u2013Arizona, 2012","volume":"21","author":"Yasmin","year":"2015","journal-title":"J Correct Health Care."},{"key":"B12","doi-asserted-by":"publisher","first-page":"1491","DOI":"10.15585\/mmwr.mm6552a8","article-title":"Notes from the field: botulism outbreak from drinking prison-made illicit alcohol in a federal correctional facility - Mississippi, June 2016","volume":"65","author":"McCrickard","year":"2017","journal-title":"MMWR Morb Mortal Wkly Rep."},{"key":"B13","unstructured":"Bacteriological Analytical Manual, Chapter 172001"},{"key":"B14","unstructured":"Approval History, Letters, Reviews, and Related Documents - BAT (Botulism Antitoxin Heptavalent (A, B, C, D, E, F, G) - (Equine): Clinical Review Memo2018"},{"key":"B15","doi-asserted-by":"publisher","first-page":"802","DOI":"10.15585\/mmwr.mm6429a6","article-title":"Large outbreak of botulism associated with a church potluck meal\u2013Ohio, 2015","volume":"64","author":"McCarty","year":"2015","journal-title":"MMWR Morb Mortal Wkly Rep."},{"key":"B16","doi-asserted-by":"publisher","first-page":"S73","DOI":"10.1093\/cid\/cix846","article-title":"The epidemiology of foodborne botulism outbreaks: a systematic review","volume":"66","author":"Fleck-Derderian","year":"2017","journal-title":"Clin Infect Dis."},{"key":"B17","doi-asserted-by":"publisher","first-page":"1","DOI":"10.15585\/mmwr.rr7002a1","article-title":"Clinical guidelines for diagnosis and treatment of botulism, 2021","volume":"70","author":"Rao","year":"2021","journal-title":"MMWR Recomm Rep."}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2021.716615\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,24]],"date-time":"2021-08-24T06:11:29Z","timestamp":1629785489000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2021.716615\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,24]]},"references-count":17,"alternative-id":["10.3389\/fpubh.2021.716615"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2021.716615","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8,24]]},"article-number":"716615"}}