AUTHOR=Thery Marin , Cousin Vladimir L. , Tissieres Pierre , Enault Maxime , Morin Luc 

TITLE=Multi-organ failure caused by lasagnas: A case report of Bacillus cereus food poisoning

JOURNAL=Frontiers in Pediatrics

VOLUME=10

YEAR=2022

URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.978250

DOI=10.3389/fped.2022.978250

ISSN=2296-2360

ABSTRACT=<p>We report a <italic>Bacillus cereus</italic>, cereulide producing strain, food poisoning of two sisters. After eating a few bites of pasta cooked 3 days earlier, a 13-year-old girl developed mild symptoms. However, her 11-year-old sister suffered, 40 h after ingestion of the entire platter, a multi-organ failure including acute liver failure, rhabdomyolysis, disseminated intravascular coagulation, and acute kidney injury (AKI). She received supportive care in pediatric intensive care using mechanical ventilation, hemofiltration, and high-doses vasopressors. She was specifically treated for toxin-mediated disease using blood purification and further digestive decontamination. This report highlights the potential severity of <italic>B. cereus</italic> food poisoning but also a successful dual treatment including toxin removal and antimicrobial treatment to prevent toxin production.</p>