Botulism with Unusual Rapid Progression to Complete Paralysis in a Child

Botulism is a severe neuroparalytic illness which is difficult to diagnose accurately, especially in children. We report a child with type A botulism intoxication, with very rapid progression to coma-like consciousness and respiratory failure. Careful physical examinations led to the suspicion of bo...

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Main Authors: Hui-Ju Tsai, Wen-Chen Liang, Chien-Hua Wang, Po-Ching Chou, Jong-Hau Hsu, Chia-Tsuan Huang, Yuh-Jyh Jong
Format: Article
Language:English
Published: Elsevier 2015-12-01
Series:Pediatrics and Neonatology
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Online Access:http://www.sciencedirect.com/science/article/pii/S1875957213000806
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author Hui-Ju Tsai
Wen-Chen Liang
Chien-Hua Wang
Po-Ching Chou
Jong-Hau Hsu
Chia-Tsuan Huang
Yuh-Jyh Jong
author_facet Hui-Ju Tsai
Wen-Chen Liang
Chien-Hua Wang
Po-Ching Chou
Jong-Hau Hsu
Chia-Tsuan Huang
Yuh-Jyh Jong
author_sort Hui-Ju Tsai
collection DOAJ
description Botulism is a severe neuroparalytic illness which is difficult to diagnose accurately, especially in children. We report a child with type A botulism intoxication, with very rapid progression to coma-like consciousness and respiratory failure. Careful physical examinations led to the suspicion of botulism, and electrophysiologic examinations, including electroencephalogram and repetitive nerve stimulation tests, further supported the diagnosis. Hospitalization due to botulism had a great emotional impact on the patient and psychological support was crucial.
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series Pediatrics and Neonatology
spelling doaj-art-84e8f8f1d6514f7da3ad8a5c4dd3bc6f2025-08-20T03:04:07ZengElsevierPediatrics and Neonatology1875-95722015-12-0156642542810.1016/j.pedneo.2013.03.020Botulism with Unusual Rapid Progression to Complete Paralysis in a ChildHui-Ju Tsai0Wen-Chen Liang1Chien-Hua Wang2Po-Ching Chou3Jong-Hau Hsu4Chia-Tsuan Huang5Yuh-Jyh Jong6Department of Family Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Family Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanBotulism is a severe neuroparalytic illness which is difficult to diagnose accurately, especially in children. We report a child with type A botulism intoxication, with very rapid progression to coma-like consciousness and respiratory failure. Careful physical examinations led to the suspicion of botulism, and electrophysiologic examinations, including electroencephalogram and repetitive nerve stimulation tests, further supported the diagnosis. Hospitalization due to botulism had a great emotional impact on the patient and psychological support was crucial.http://www.sciencedirect.com/science/article/pii/S1875957213000806Clostridium botulinumfood-borne botulismparalysis
spellingShingle Hui-Ju Tsai
Wen-Chen Liang
Chien-Hua Wang
Po-Ching Chou
Jong-Hau Hsu
Chia-Tsuan Huang
Yuh-Jyh Jong
Botulism with Unusual Rapid Progression to Complete Paralysis in a Child
Pediatrics and Neonatology
Clostridium botulinum
food-borne botulism
paralysis
title Botulism with Unusual Rapid Progression to Complete Paralysis in a Child
title_full Botulism with Unusual Rapid Progression to Complete Paralysis in a Child
title_fullStr Botulism with Unusual Rapid Progression to Complete Paralysis in a Child
title_full_unstemmed Botulism with Unusual Rapid Progression to Complete Paralysis in a Child
title_short Botulism with Unusual Rapid Progression to Complete Paralysis in a Child
title_sort botulism with unusual rapid progression to complete paralysis in a child
topic Clostridium botulinum
food-borne botulism
paralysis
url http://www.sciencedirect.com/science/article/pii/S1875957213000806
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