Unexpectedly life-threatening meal: Contamination by Bongkrekic acid in Taiwan
Objective: Bongkrekic acid (BKA) is a life-threatening toxin linked to foodborne illnesses. Herein, we report two fatalities among 33 patients who ingested BKA in March 2024, East Taipei, Taiwan. Case Report: Our first case involved a 40-year-old female who presented with nausea, vomiting, and diarr...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455924002924 |
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| author | Ching-Hsiang Yu En-Chih Liao Yu-Jang Su |
| author_facet | Ching-Hsiang Yu En-Chih Liao Yu-Jang Su |
| author_sort | Ching-Hsiang Yu |
| collection | DOAJ |
| description | Objective: Bongkrekic acid (BKA) is a life-threatening toxin linked to foodborne illnesses. Herein, we report two fatalities among 33 patients who ingested BKA in March 2024, East Taipei, Taiwan. Case Report: Our first case involved a 40-year-old female who presented with nausea, vomiting, and diarrhea after consuming wet rice noodles. On examination, refractory hypotension, jaundice, diffuse abdominal pain, high levels of liver enzymes, metabolic acidosis, coagulopathy, and acute hepatic failure were present. Dialysis, continuous venovenous hemofiltration, and plasma exchange were performed; however, the patient experienced liver failure and died of multi-organ failure, severe sepsis, and coagulopathy on day 39. The second case, a 39-year-old man, was found unconscious and experiencing cardiac arrest. He eventually died after 30 min of cardiopulmonary resuscitation following admission to the intensive care unit. Conclusion: Strengthening food safety regulations by enhancing inspection of food production, storage, and preparation facilities should be implemented to prevent BKA poisoning-related fatalities. |
| format | Article |
| id | doaj-art-e341c9ddc1b2442dac7bc07149463033 |
| institution | Kabale University |
| issn | 1028-4559 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj-art-e341c9ddc1b2442dac7bc071494630332025-01-09T06:12:53ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592025-01-01641142145Unexpectedly life-threatening meal: Contamination by Bongkrekic acid in TaiwanChing-Hsiang Yu0En-Chih Liao1Yu-Jang Su2Department of Emergency Medicine, MacKay Memorial Hospital, Taipei 10449, TaiwanDepartment of Medicine, MacKay Medical College, New Taipei City, Taiwan; Institute of Biomedical Sciences, MacKay Medical College, New Taipei City, TaiwanDepartment of Emergency Medicine, MacKay Memorial Hospital, Taipei 10449, Taiwan; Department of Medicine, MacKay Medical College, New Taipei City, Taiwan; Toxicology Division, Department of Emergency Medicine, MacKay Memorial Hospital, Taipei 10449, Taiwan; Department of Nursing, Yuanpei University of Medical Technology, Hsinchu, Taiwan; MacKay Junior College of Medicine Nursing and Management, Taipei, Taiwan; Corresponding author. Toxicology Division, Department of Emergency Medicine, MacKay Memorial Hospital, Taipei 10449, Taiwan.Objective: Bongkrekic acid (BKA) is a life-threatening toxin linked to foodborne illnesses. Herein, we report two fatalities among 33 patients who ingested BKA in March 2024, East Taipei, Taiwan. Case Report: Our first case involved a 40-year-old female who presented with nausea, vomiting, and diarrhea after consuming wet rice noodles. On examination, refractory hypotension, jaundice, diffuse abdominal pain, high levels of liver enzymes, metabolic acidosis, coagulopathy, and acute hepatic failure were present. Dialysis, continuous venovenous hemofiltration, and plasma exchange were performed; however, the patient experienced liver failure and died of multi-organ failure, severe sepsis, and coagulopathy on day 39. The second case, a 39-year-old man, was found unconscious and experiencing cardiac arrest. He eventually died after 30 min of cardiopulmonary resuscitation following admission to the intensive care unit. Conclusion: Strengthening food safety regulations by enhancing inspection of food production, storage, and preparation facilities should be implemented to prevent BKA poisoning-related fatalities.http://www.sciencedirect.com/science/article/pii/S1028455924002924Bongkrekic acidContinuous veno-venous hemofiltration (CVVH)DialysisIntensive care unitPlasma exchange |
| spellingShingle | Ching-Hsiang Yu En-Chih Liao Yu-Jang Su Unexpectedly life-threatening meal: Contamination by Bongkrekic acid in Taiwan Taiwanese Journal of Obstetrics & Gynecology Bongkrekic acid Continuous veno-venous hemofiltration (CVVH) Dialysis Intensive care unit Plasma exchange |
| title | Unexpectedly life-threatening meal: Contamination by Bongkrekic acid in Taiwan |
| title_full | Unexpectedly life-threatening meal: Contamination by Bongkrekic acid in Taiwan |
| title_fullStr | Unexpectedly life-threatening meal: Contamination by Bongkrekic acid in Taiwan |
| title_full_unstemmed | Unexpectedly life-threatening meal: Contamination by Bongkrekic acid in Taiwan |
| title_short | Unexpectedly life-threatening meal: Contamination by Bongkrekic acid in Taiwan |
| title_sort | unexpectedly life threatening meal contamination by bongkrekic acid in taiwan |
| topic | Bongkrekic acid Continuous veno-venous hemofiltration (CVVH) Dialysis Intensive care unit Plasma exchange |
| url | http://www.sciencedirect.com/science/article/pii/S1028455924002924 |
| work_keys_str_mv | AT chinghsiangyu unexpectedlylifethreateningmealcontaminationbybongkrekicacidintaiwan AT enchihliao unexpectedlylifethreateningmealcontaminationbybongkrekicacidintaiwan AT yujangsu unexpectedlylifethreateningmealcontaminationbybongkrekicacidintaiwan |