MICROBIAL  FOOD  POISONING  -  PART 6

Burkholderia cocovenenans

In many countries, fermented vegetable matter, as an alternative to fresh meat, forms an important source of protein. One such product is the many varieties of tempe, produced in Indonesia. Tempe is prepared principally from soybeans or other legumes. Soybean tempe (tempe kedele) is a high-protein food with significant nutritional properties and a good public health record. In the Regency of Banyumas and surrounding areas of Central Java, Indonesia, tempe bongkrek and other-coconut based products are prepared from partly defatted coconut. The raw material for tempe bongkrek sometimes is mixed with the residue from the manufacture of tofu (soybean curd) and allowed to ferment with the mould Rhizopus oligosporus. The final product is a compact cake in which the white mould covers and penetrates the substrate and binds the particles together. Tempe is consumed as cubes or slices, especially after deep frying. Under certain conditions, the contaminating bacterium, Burkholderia cocovenenans may grow in tempe bongkrek, producing two toxins: colourless bongkrek acid and yellow-coloured toxoflavin. Bongkrek food poisoning usually has a latency period of 4 to 6 hours. Typical symptoms are malaise, abdominal pains, dizziness, extensive sweating, marked tiredness and sleepiness after which the patient passes into a coma. Death occurs from 1 to 20 hours after the onset of the initial symptoms. Laboratory techniques for the detection of Burkholderia cocovenenans in foods have been established, but as yet have not been standardised. An efficient and specific enrichment procedure is required to examine food and environmental samples for the presence of the bacteria.

Mycotoxigenic Fungi
Toxic fungal metabolites, mycotoxins, have been responsible for a number of major epidemics in man and animals. The natural fungal flora of foods is dominated by three genera, Aspergillus, Fusarium and Penicillium, and it is not coincidental that these three genera produce the most important mycotoxins. Fusarium species are destructive pathogens on cereal crops and other commodities, and produce mycotoxins before, or immediately after, harvest. Certain species of Aspergillus and Penicillium are also plant pathogens or commensals, but these genera are more commonly associated with commodities and foods during drying and storage. It is important to realise that not all species of these three genera are capable of producing human disease. Mycotoxins are metabolites which are usually produced  as the fungus matures. There are four basic types of toxicity: acute, chronic, mutagenic and teratogenic. The most commonly described effect of acute mycotoxin poisoning is deterioration of liver or kidney function, which in severe cases may lead to death. However, some mycotoxins act by primarily by interfering with protein synthesis, and produce effects ranging from skin sensitivity or necrosis to extreme immunodeficiency.  Others are neurotoxins, which in low doses may cause sustained trembling in animals, but at only slightly higher doses cause permanent brain damage or death.
Long term affects of low levels of mycotoxin ingestion are also varied. The prime chronic effect of many mycotoxins is the induction of cancer, especially of the liver. Some toxins affect DNA replication, and hence can produce mutagenic or teratogenic effects--although these have only been demonstrated in laboratory or domestic animals, not in man.
Generally, specialised tests are necessary to identify the species of the three genera discussed here. This will often require use of "Reference Laboratories" which have the capability of fully identifying a fungus and also analysing the capability of the fungus to produce mycotoxins. The major toxigenic species of significance in foods of Aspergillus are A. flavus, A. parasiticus, A. ochraceus and A. versicolor. Similarly Fusarium sporotrichioides, F. poae, F. equiseti, F. graminearum, F. moniliforme,  F. proloferatum and Penicillium crustosum, P. roqueforti and P. verrucosum.

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