Purpose: The purpose of this study was to isolate additional strains of C. botulinum that may have contributed to the high quantities of BoNT detected in the adulterated product.
Methods: Additional carrot juice bottles retrieved from the facility during the outbreak were used to plate out and obtain toxin-producing isolates which were subsequently analyzed using pulsed-field gel electrophoresis (PFGE) and Southern hybridization analysis.
Results: None of these additional toxigenic isolates tested exhibited a restriction banding pattern similar to strain CDC51348. PFGE of XhoI and SmaI digested DNA samples showed that isolates CJ4-1 and CJ10-1 shared an identical pulsotype to strain CDC51303. Although CJ5-1 exhibited an identical PFGE pattern to CDC51303 when SmaI was used as the restriction enzyme, this strain displayed a unique pulsotype when PFGE was performed using DNA digested with XhoI. CJ4-1 and CJ5-1 were selected for further analysis using a focused DNA microarray. This analysis revealed several phage related genes present in CJ5-1, but which were absent in CJ4-1. Southern hybridization analysis of digested and non-digested DNA of CJ4-1 and CJ5-1 using probes specific for each phage gene suggested their chromosomal rather than extrachomosomal location.
Significance: The acquisition or loss of bacteriophages has been demonstrated among strains of C. botulinum in a food, clinical or environmental sample. This phenomenon presents a challenge for the timely, accurate identification of an outbreak strain during a botulism outbreak investigation.