Case Report
Year 2025,
Volume: 7 Issue: 2, 40 - 42, 31.08.2025
Abstract
References
- Taşkın Ö, Akpınar AA. The enemy at the gate: Botulism. Turk J Emerg Med. 2024;24(3):127-132. doi: 10.4103/tjem.tjem_80_24
- Jain N, Lansiaux E, Yucel U, Huenermund S, Goeschl S, Schlagenhauf P. Outbreaks of iatrogenic botulism in Europe: Combating off-label medical use of Botulinum Neurotoxin (BoNT) in bariatric procedures. New Microbes New Infect. 2023;53:101152. doi: 10.1016/j.nmni.2023.101152
- Rao AK, Lin NH, Griese SE, Chatham-Stephens K, Badell ML, Sobel J. Clinical criteria to trigger suspicion for botulism: An evidence-based tool to facilitate timely recognition of suspected cases during sporadic events and outbreaks. Clin Infect Dis. 2018;66(Suppl_1):S38–S42. doi: 10.1093/cid/cix844
- Hodowanec A, Bleck TP. Botulism (Clostridium botulinum). In: Bennett JE, Dolin R, Blaser MJ, editors. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases. 8th ed. Elsevier; 2015. p. 2763–2767.e2. doi: 10.1016/B978-1-4557-4801-3.00247-2
- Rao AK, Lin NH, Jackson KA, Mody RK, Griffin PM. Clinical characteristics and ancillary test results among patients with botulism—United States, 2002–2015. Clin Infect Dis. 2018;66(Suppl_1):S4–S10. doi: 10.1093/cid/cix935
- Kouyoumdjian JA, Estephan EP. Electrophysiological evaluation of the neuromuscular junction: A brief review. Arq Neuropsiquiatr. 2023;81(12):1040–1052. doi: 10.1055/s-0043-1777749
- Kongsaengdao S, Samintarapanya K, Rusmeechan S, Sithinamsuwan P, Tanprawate S. Electrophysiological diagnosis and patterns of response to treatment of botulism with neuromuscular respiratory failure. Muscle Nerve. 2009;40(2):271–278. doi: 10.1002/mus.21256 Peck MW, Stringer SC, Carter AT. Clostridium botulinum in the post-genomic era. Food Microbiol. 2011;28(2):183–191. doi: 10.1016/j.fm.2010.03.005
- O’Horo JC, Harper EP, El Rafei A, Ali R, DeSimone DC, Sakusic A, et al. Efficacy of antitoxin therapy in treating patients with foodborne botulism: A systematic review and meta- analysis of cases, 1923–2016. Clin Infect Dis. 2018;66(Suppl_1):S43–S56. doi: 10.1093/cid/cix847
Year 2025,
Volume: 7 Issue: 2, 40 - 42, 31.08.2025
Abstract
In this article, we describe a case of tetraplegia due to botulism after consuming home canned pickles. The patient was a 46-year-old woman with no known comorbidities. She was intubated in the emergency department and hospitalized in the intensive care unit after complaints of headache, diplopia, nausea and vomiting were followed by droopy eyelid, dysphagia and finally respiratory distress in the last 24 hours. Clostridium Botulinum toxin was found positive in the serum sample of the patient. Electromyelography findings supported severe presynaptic neuromuscular junction disease. Anti-toxin treatment was started. After 40 days in the intensive care unit and 10 days in the ward, he was discharged in good condition.
Keywords
References
- Taşkın Ö, Akpınar AA. The enemy at the gate: Botulism. Turk J Emerg Med. 2024;24(3):127-132. doi: 10.4103/tjem.tjem_80_24
- Jain N, Lansiaux E, Yucel U, Huenermund S, Goeschl S, Schlagenhauf P. Outbreaks of iatrogenic botulism in Europe: Combating off-label medical use of Botulinum Neurotoxin (BoNT) in bariatric procedures. New Microbes New Infect. 2023;53:101152. doi: 10.1016/j.nmni.2023.101152
- Rao AK, Lin NH, Griese SE, Chatham-Stephens K, Badell ML, Sobel J. Clinical criteria to trigger suspicion for botulism: An evidence-based tool to facilitate timely recognition of suspected cases during sporadic events and outbreaks. Clin Infect Dis. 2018;66(Suppl_1):S38–S42. doi: 10.1093/cid/cix844
- Hodowanec A, Bleck TP. Botulism (Clostridium botulinum). In: Bennett JE, Dolin R, Blaser MJ, editors. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases. 8th ed. Elsevier; 2015. p. 2763–2767.e2. doi: 10.1016/B978-1-4557-4801-3.00247-2
- Rao AK, Lin NH, Jackson KA, Mody RK, Griffin PM. Clinical characteristics and ancillary test results among patients with botulism—United States, 2002–2015. Clin Infect Dis. 2018;66(Suppl_1):S4–S10. doi: 10.1093/cid/cix935
- Kouyoumdjian JA, Estephan EP. Electrophysiological evaluation of the neuromuscular junction: A brief review. Arq Neuropsiquiatr. 2023;81(12):1040–1052. doi: 10.1055/s-0043-1777749
- Kongsaengdao S, Samintarapanya K, Rusmeechan S, Sithinamsuwan P, Tanprawate S. Electrophysiological diagnosis and patterns of response to treatment of botulism with neuromuscular respiratory failure. Muscle Nerve. 2009;40(2):271–278. doi: 10.1002/mus.21256 Peck MW, Stringer SC, Carter AT. Clostridium botulinum in the post-genomic era. Food Microbiol. 2011;28(2):183–191. doi: 10.1016/j.fm.2010.03.005
- O’Horo JC, Harper EP, El Rafei A, Ali R, DeSimone DC, Sakusic A, et al. Efficacy of antitoxin therapy in treating patients with foodborne botulism: A systematic review and meta- analysis of cases, 1923–2016. Clin Infect Dis. 2018;66(Suppl_1):S43–S56. doi: 10.1093/cid/cix847
There are 8 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Emergency Medicine, Environmental Health |
| Journal Section | Case Report |
| Authors | |
| Submission Date | March 28, 2025 |
| Acceptance Date | May 27, 2025 |
| Publication Date | August 31, 2025 |
| DOI | https://doi.org/10.51262/ejtox.1667232 |
| IZ | https://izlik.org/JA86YK98ZP |
| Published in Issue | Year 2025 Volume: 7 Issue: 2 |