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  • WHAT CAUSES FOOD POISONING ?
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Being the frugal that I am, I refused to discard a block of expensive gourmet cheese (which I consume little at a time just so that I don’t finish it too soon) despite it looking a little ‘odd’ and smelling a little ‘funny’ after few weeks. No prizes for guessing that I ended up with a good bout of food poisoning.

Well, that’s what you get when you eat contaminated food. A number of bacteria, virus and parasite contaminants are known to cause food poisoning with varying symptoms and onset. Most of them cause mild to moderate, self-limiting symptoms but some (such as C. botulinum, L. monocytogenes, E. coli) can sometimes result in fatal complications.

https://lh4.googleusercontent.com/nne_tq-mCED74PklkR-pn1IHdmKKScx-5H6zQjjKFaMj_ppkPPLxamhScwV-O4jtOMJyAOrCULRiecVCGwPXu1md4ijXe0c7D-gZTwc7PehpcDWYjSF95plFBFv7T5sN4WeCyauS

While many of us tend to blame the immediate prior meal as the cause of our food poisoning, it may not always be the case. It sometimes takes less than an hour to as long as a couple of days before the food poisoning symptoms develop, depending on the causative agents as well as how their toxins affect the intestines.

Table: Food poisoning causative agents, estimated times for symptoms to appear and its potential sources.

Causative agent

Approximate time for symptoms to appear

Potential sources

S. aureus

30 mins – 6 hours

Food that are not cooked after handling (cold cuts, puddings, sandwiches).

B. cereus

10 – 16 hours

Leftover rice, cereals, vegetables, herbs and spices.

C. perfringens

6 – 24 hours

Cooked meat, stews, gravies which are improperly stored.

Norovirus

12 – 48 hours

Infected food handler. Contaminated leafy greens, fruits, shellfish.

Salmonella spp.

12 – 72 hours

Raw meat, poultry, eggs, unpasteurized milk, dairy products.

C. botulinum

12 – 72 hours

Improperly canned, smoked or fermented foods.

Vibrio spp.

1 – 4 days

Raw or undercooked shellfish, esp raw oysters.

E.coli

 

enterotoxic: 1-2 days

enterohemorrhagic:3 – 4 days

Raw or undercooked

beef, unpasteurized milk and juice, raw vegetables. Contaminated water.

L. monocytogenes

1 – 4 weeks

Deli meats, unpasteurized milk, unwashed raw produce.

Cyclospora

1 – 14 days, May relapse over weeks to months

Raw fruits, vegetables and herbs.

Giardia lamblia

1 – 2 weeks

Infected food handler. Raw, ready-to-eat produce.

 

The typical food poisoning symptoms include nausea, vomiting, diarrhoea, abdominal cramps and occasionally fever. However, enterohaemorrhagic strains of E. coli and Salmonella spp. can sometimes result in bloody diarrhoea, while Cyclospora food poisoning is often associated with bloating and gas. Some of these agents can also cause life-threatening complications, for example L. monocytogenescan seed meningitis in immunocompromised persons while C.botulinum caused paralysis and subsequently death.

So, the next time you feel that something doesn’t look right, smell right; hasn’t been cooked or stored properly; or from an unreliable source, it is perhaps best to not eat it. Why take the risk?


Download our Doc2Us app from Google App Store or Apple Store and chat with a doctor now.

References:

  1. https://www.cdc.gov/foodsafety/symptoms.html
  2. https://www.mayoclinic.org/diseases-conditions/food-poisoning/symptoms-causes/syc-20356230
  3. https://www.poison.org/articles/2013-apr/food-poisoning#symptoms
  4. https://www.aafp.org/afp/2015/0901/p358.html
  5. https://foodpoisoningbulletin.com/2017/number-one-food-poisoning-outbreak-2017-cyclospora/

In collaboration with Dosing Health.

Tags :

  • food poisoning |
  • virus |
  • bacteria |
  • parasite |
  • contaminated food |
  • diarrhoea

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Written By

Hui Ling Lau

Reviewed By

Doc2us Medical Board

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