In the summer, 1955, outbreaks of food-poisoning due to marine products, especially to squid, took place throughout Hokkaido. The number of patients reached about 3, 000, a half of which were caused by squid.
The most eminent features of these food-poisonings were as follows :
(1) Clinical symptoms observed were, for the most part, transient nausea, vomiting, abdominal pain and diarrhoea. The length of incubation period was variable, from 1 to 24 hours. The morbidity rate varied from 10 to 100 per cent. Prognosis of the disease was usually benign and the majority of the patients recovered in about 12 to 24 hours.
(2) Food responsible for the outbreaks was, for the most part, various marine products such as squid, poulp, tunny, mackerel
etc.Above all, squid, especially sliced raw squid, was the most important vehicle in the outbreaks.
(3) Bacteriological examination carried out on the implicated foods and the feces of the patients failed to determine any definite bacteria as the causative organisms. A small number of strains of
Shigella, Arizona, Citrobacterand pathogenic
Escherichia coliwere isolated. Though clinical signs and symptoms had strong resemblance to staphylococcal food-poisoning, the results of the laboratory examination on hemolytic staphylococci were negative in most of the materials.
(4) The frequency of the outbreaks raised in proportion to the height of the atmospheric temperature. In 1955, unusually high temperature continued in July and August, during which almost all of the outbreaks took place.
In consideration of the features above described, the authors proposed a working hypothesis on the pathogenesis of these fish-borne summer food-poisonings. If the activity of cholinesterase (Ch-E) which decomposes acetylcholine (Ach) was inhibited by some agents, Ach would be accumulated to a level on which it exerts its irritating action on the digestive canal. The following facts will support this view.
(1) It is well known that administration of Ach brings about nausea, vomiting, abdominal pain and diarrhoea in men.
(2) These symptoms are observed in mild cases with poisoning due to organic phosphorous insecticide such as “parathion”. One of the present authors (Iwamoto, 1955) reported that serum Ch-E activity is markedly inhibited in these cases.
(3) Serum Ch-E activity usually decreases in hot seasons (Okinaka
et al., 1953) .
To sum up, the following hypothesis was proposed by the authors on the pathogenesis of these fish-borne summer food-poisoning. If in the summer seasons when the activity of serum Ch-E was at a low level, some unknown agents which inhibit the enzyme activity were brought into or produced in the digestive canal, decrease in the enzyme activity would be locally caused, thus result-ing the accumulation of Ach which would give rise to variable digestive disturbances.
In order to confirm the validity of this hypothesis several experiments were carried out in this laboratory. The present paper deals with the comparative study on the serum Ch-E activity of the patients with that of the normal healthy persons.
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