A family of 9 died after consuming a meal of noodles. What is the toxin?
Bongkrekic Acid. Bongkrekic acid (BKA) inhibits adenine nucleotide translocase and is a mitochondrial toxin. It is produced by the bacterium Burkholderia gladiolog pathovar cocovenenas. There are numerous cases in the litrerature describing ingestion of expired noodle products resulting in death.
News article story link: https://nypost.com/2020/10/22/family-of-nine-in-china-dies-after-eating-spoiled-noodles/
Li J et al. An investigation of BKA poisoning caused by consumption of nonfermented rice noodle product without noticeable signs of spoilage. J Food Protection 2019; 82(1): https://doi.org/10.4315/0362-028X.JFP-19-121