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  Common Agents Causing Foodborne Illness, Grouped by Symptoms
 

Neurological Symptoms (Visual Disturbances, Vertigo, Tingling, Paralysis) Occur

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Chemical Agents

Incubation

Duration

Symptoms

Etiologic Agent Common Vehicles
1/2 - 2 hrs 12 hrs

Tingling, burning, numbness, drowsiness, incoherent speech, respiratory paralysis

Paralytic shellfish poisoning (PSP) Seafood, undercooked or raw oysters, mussels, clams
Few minutes to 30 minutes

17 hrs
(range: 1-72 hrs)

Reversal of hot and cold; numbness of lips, tongue and throat; muscle aches, dizziness, diarrhea, vomiting

Neurotoxic shellfish poisoning (NSP) Mussels, clams, sea water

Few minutes to 30 minutes

Varies Nausea, vomiting, abdominal pain, chills, fever Diarrheic shellfish poisoning Mussels, clams, scallops

24 hrs (GI)
48 hrs (neurologic)

Varies Vomiting, diarrhea, abdominal pain, confusion, memory loss, disorientation, seizure, coma Amnesic shellfish (domoic acid) Mussels, oysters

Bacterial Agents

Incubation

Duration

Symptoms

Etiologic Agent Common Vehicles

12-35 hrs
(range: 2 hrs to 6 days)

Days to months Vertigo, double or blurred vision, loss of reflex to light, difficulty swallowing, speaking, breathing, dry mouth, weakness, respiratory paralysis Clostridium botulinum and its neurotoxins Improperly canned foods, honey (infant botulism)

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