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Infection vs Intoxication

Definition

Infection requires a live organism that multiplies in the host gut to cause disease, with an incubation period of 12 hours to several days. Intoxication is caused by a preformed toxin in the food and presents within 1 to 6 hours of eating, often with severe vomiting and rapid onset.

Field
Forensic toxicology, food poisoning
Infection
Live organism multiplies in host gut
Infection onset
12 hours to several days
Intoxication
Preformed toxin already in the food
Intoxication onset
1 to 6 hours, often severe vomiting

Common questions

Why does onset time matter for identifying which food a victim ate that caused illness?+

A short 1 to 6 hour onset points investigators to a meal eaten shortly before symptoms and to a preformed toxin such as Staphylococcus aureus enterotoxin, while a multi-day incubation period forces a much wider search across meals eaten over the preceding days.

Can heating food before eating prevent both infection and intoxication equally?+

No, cooking kills the live organisms responsible for infection but does not destroy many preformed toxins responsible for intoxication, which are heat-stable, so reheating contaminated food can still cause illness even after the bacteria themselves are dead.

Related terms

Adulterant
A substance added to a food to increase bulk, weight or visual appeal at the cost of safety or nutrition. Examples include...
Aflatoxin B1
A hepatotoxic and hepatocarcinogenic mycotoxin produced by Aspergillus flavus and A. parasiticus on poorly stored groundnut, maize and dry chilli. FSSAI sets...
Botulinum Neurotoxin (BoNT)
The most potent toxin known by weight. Produced by Clostridium botulinum in anaerobic low-acid food (improperly canned, smoked or fermented). Blocks acetylcholine...
FSSAI Notified Laboratory
A food testing laboratory recognised under Section 43 of the FSS Act 2006 to analyse statutory food samples. The network includes 22...
Staphylococcal Enterotoxin (SE)
A family of heat-stable superantigen toxins (SEA to SEE most common) produced by Staphylococcus aureus in protein-rich food held at warm temperature....

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