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Fundamental Food Microbiology, Third Edition - Fuad Fathir

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398 FUNDAMENTAL FOOD MICROBIOLOGY<br />

H. Detection Method<br />

Bac. cereus can be enumerated by surface plating on an agar medium containing<br />

mannitol, egg yolk, and polymyxin B (as a selective agent). Colonies surrounded<br />

by precipitation resulting from lecithinase of the cells are indicative of Bac. cereus.<br />

A. Importance<br />

IV. CHOLERA<br />

Cholera, caused by Vib. cholerae 01, 1,2,8,9 is a noncontagious disease but can cause<br />

large epidemics with high mortality. In the 19th century, both epidemic and<br />

isolated cholera cases were recorded in the U.S. Since 1911, the disease was<br />

thought to be eradicated. Most of the outbreaks in the 20th century were recorded<br />

in Asian countries. However, in 1973, a cholera case was recorded in Texas.<br />

Between 1973 and 1987, 6 outbreaks involving 916 cases with 12 deaths were<br />

recorded, mostly in the coastal states of the U.S. Contaminated seafoods (cooked<br />

crab, finfish, and raw oysters) were involved in these cases. In 1991 and 1992, a<br />

large cholera epidemic that started in Peru spread to many South American<br />

countries and affected ca. 640,000 people, with 5600 deaths. It was also introduced<br />

into the U.S. by travelers from these countries who either ate contaminated<br />

foods before entering the U.S. or brought contaminated concealed foods to the<br />

U.S. In addition to the 01 strains, Vib. cholerae non-01 strains have also been<br />

involved in cholera cases (also designated as non-01 gastroenteritis) in the U.S.<br />

and other countries. Non-01 strains were previously thought to be incapable of<br />

causing large epidemics, but in 1992, a non-01 serotype, non-0139, was involved<br />

in large epidemics in Bangladesh and India.<br />

B. Characteristics<br />

Vib. cholerae, like other vibrios, is a Gram-negative motile, curved rod. The species<br />

has many serogroups. Strains in 01 are associated with epidemic cholera. This<br />

serotype is further characterized by biotype and serotype. The type currently associated<br />

with cholera epidemics worldwide is of the El Tor biotype and either Inaba<br />

or Ogawa serotype. Non-01 serotypes do not agglutinate with antibodies prepared<br />

against 01 antigens. Also, non-01 serotypes, similar to 01 serotypes, are not sensitive<br />

to trimethoprim-sulfamethoxazole with furazolidone. Both types are sensitive to heat<br />

and are killed by the temperature used for cooking. Improper heating (at lower<br />

temperature for a shorter time) may not be able to kill all the cells present in a food.<br />

The optimum temperature of growth is between 30 and 35�C. The growth rate is<br />

very rapid, even at room temperature. The cells do not multiply in contaminated<br />

live crabs, oysters, or fish. However, in cooked seafoods, rapid growth can occur at<br />

25 to 35�C. Alkaline foods facilitate rapid growth. Survival of cells is better in<br />

cooked foods at 5 to 10�C. 9,10

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