Complete paralytic botulism mimicking a deep coma in a child

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Azapagasi E., KENDİRLİ T., Oz-Tuncer G., Albayrak P., TEBER S., Deda G.

TURKISH JOURNAL OF PEDIATRICS, cilt.59, sa.5, ss.581-585, 2017 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 59 Sayı: 5
  • Basım Tarihi: 2017
  • Doi Numarası: 10.24953/turkjped.2017.05.012
  • Dergi Adı: TURKISH JOURNAL OF PEDIATRICS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.581-585
  • Anahtar Kelimeler: Clostridium botulinum, food-borne botulism, paralysis, coma, FOODBORNE BOTULISM, DIAGNOSIS
  • Gazi Üniversitesi Adresli: Hayır

Özet

Botulism is a rare cause of neuroparalysis. Delay in diagnosis and treatment exerts adverse impact on mortality and morbidity. We report a child with complete flaccid paralysis followed by progression to coma-like consciousness. The patient required mechanical ventilation. As serological tests could not be performed, detailed history and physical examinations led to the suspicion of botulism, and repetitive nerve stimulation tests supported the diagnosis. Botulinum antitoxin was administered. The patient's neuromuscular function improved rapidly.