European Journal of Case Reports in Internal Medicine (May 2019)

Foodborne Botulism: Neglected Diagnosis

  • Nuno Zarcos Palma,
  • Mariana da Cruz,
  • Vítor Fagundes,
  • Lindora Pires

DOI
https://doi.org/10.12890/2019_001122

Abstract

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Botulism is rare neuroparalytic disease caused by botulinum toxin, one of the most toxic substances known. Foodborne botulism is caused by consumption of foods contaminated with botulinum toxin. The clinical manifestations are flaccid, symmetrical, descending paralysis affecting cranial and peripheral nerves. The only specific treatment is botulinum antitoxin. We report the case of a 37-year-old man with gastrointestinal manifestations and posterior cranial nerve palsy who was diagnosed with botulism infection. Clinicians should be aware of rare causes of infection and determine the aetiology of symptoms.

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