Infantile botulism.

Abstract:

:We present the first two known cases of infantile botulism in Oklahoma. The first case was due to type B toxin; the second was due to type A toxin. Both cases demonstrate most of the classic features of what now appears to be the most common form of botulism. Infantile botulism is an underrecognized but reversible cause of hypotonia. In most cases, the prognosis is excellent with institution of appropriate supportive care. The recognition of cranial nerve palsies or a history of constipation should raise the suspicion of infantile botulism. Aminoglycoside antibiotics and other agents that may precipitate or exacerbate neuromuscular blockade should be used with extreme caution in hypotonic infants until the cause of the hypotonia is clearly identified.

journal_name

South Med J

journal_title

Southern medical journal

authors

Gay CT,Marks WA,Riley HD Jr,Bodensteiner JB,Hamza M,Noorani PA,Bobele GB

doi

10.1097/00007611-198804000-00012

subject

Has Abstract

pub_date

1988-04-01 00:00:00

pages

457-60

issue

4

eissn

0038-4348

issn

1541-8243

journal_volume

81

pub_type

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