| Autor: |
Spini RG; Residencia de Clínica Pediátrica, Hospital General de Niños Pedro de Elizalde., Ferraris V; Residencia de Clínica Pediátrica, Hospital General de Niños Pedro de Elizalde., Glasman MP; Residencia de Clínica Pediátrica, Hospital General de Niños Pedro de Elizalde., Orofino G; Residencia de Clínica Pediátrica, Hospital General de Niños Pedro de Elizalde., Casanovas A; Residencia de Hematoncológica Pediátrica, Hospital General de Niños Pedro de Elizalde., Debaisi G; Unidad de Cuidados Intensivos, Hospital General de Niños Pedro de Elizalde. |
| Jazyk: |
Spanish; Castilian |
| Zdroj: |
Archivos argentinos de pediatria [Arch Argent Pediatr] 2015 Oct; Vol. 113 (5), pp. e286-9. |
| DOI: |
10.5546/aap.2015.e286 |
| Abstrakt: |
Botulism is an important public health problem in Argentina. It is a potentially fatal disease, and its diagnosis may be difficult. There are rare presentation forms of the disease, such as acute abdomen. We present a 4-month baby with a 3-day constipation condition, associated with weakness and abnormal eating attitude in the last 12 hours. The baby presented preserved muscle tone, with no changes in sucking or deglutition according to the mother's observations. Altered sensorium and acute abdomen were found; the patient was entered into the operating room with presumptive diagnosis of intussusception, which was confirmed by pneumatic desinvagination. During hospitalization, the patient did not make good progress and presented weak cry, progressive hypotonia and respiratory failure requiring intensive care. Clostridium botulinum was isolated from the stool sample and botulinum toxin type A was isolated from serum. The patient was treated with equine botulinum toxin. Twenty five days after admission, he was totally recovered. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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