Lai L.-S.Wang Y.-M.CHIN-HSIEN LIN2020-11-032020-11-0320111019-6099https://www.scopus.com/inward/record.uri?eid=2-s2.0-81855173912&partnerID=40&md5=ff8d1cf3f8641805c3a09850bf64705bhttps://scholars.lib.ntu.edu.tw/handle/123456789/520083Purpose: Botulism type E intoxication is a rare condition among human botulism. We aim to describe a first case of botulism type E intoxication in Taiwan. Case Report: We report a 36-year-old young man with foodborne botulism type E associated with commercially vacuum packaged dried bean curd. He developed bilateral ptosis, diplopia and dysphagia 4 days after taking the dried bean curd. Electrophysiologic findings demonstrated waxing responses to 3 Hz repetitive nerve stimulation and decreased compound muscle action potentials on peripheral nerve conduction study. A bioassay for botulism in mice demonstrated that the patient had botulism caused by type E botulinum toxin. Antibodeis to C. botulinum type E were identified from his serum, confirming the diagnosis. Conclusions: This is the first known case of foodborne type E botulism in Taiwan. The potential source of this foodborne botulism should consider contaminated food made of soy beans.Botulism; Dried bean curd; Foodborne[SDGs]SDG3botulinum toxin E; abdominal pain; adult; article; botulism; case report; diarrhea; diplopia; dysphagia; food poisoning; human; male; ptosis; Taiwan; Adult; Botulinum Toxins; Botulism; Food Microbiology; Food Packaging; Humans; Male; Soy Foods; Taiwanjournal article217393932-s2.0-81855173912