Fulminant Bacillus cereus food poisoning with fatal multi-organ failure

Clinton M.G. Colaco, Kerri Basile, Jenny Draper, Patricia E. Ferguson

Research output: Contribution to journalArticleResearchpeer-review

9 Citations (Scopus)


This case represents a rare fulminant course of fried-rice associated food poisoning in an immunocompetent person due to pre-formed exotoxin produced by Bacillus cereus, with severe manifestations of sepsis, including multi-organ (hepatic, renal, cardiac, respiratory and neurological) failure, shock, metabolic acidosis, rhabdomyolysis and coagulopathy. Despite maximal supportive measures (continuous renal replacement therapy, plasmapheresis, N-acetylcysteine infusion and blood products, and broad-spectrum antimicrobials) and input from a multidisciplinary team (consisting of infectious diseases, intensive care, gastroenterology, surgery, toxicology, immunology and haematology), mortality resulted. This case is the first to use whole genome sequencing techniques to confirm the toxigenic potential of B. cereus It has important implications for food preparation and storage, particularly given its occurrence in home isolation during the COVID-19 pandemic.

Original languageEnglish
Article numbere238716
JournalBMJ Case Reports
Issue number1
Publication statusPublished - 18 Jan 2021
Externally publishedYes


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