Document Detail

Infant botulism presenting with poor feeding and lethargy: a review of 4 cases.
MedLine Citation:
PMID:  17666936     Owner:  NLM     Status:  MEDLINE    
Infant botulism is a rare cause of hypotonia in young infants. It may present with vague symptoms such as poor feeding and lethargy. We present 4 cases of infant botulism presenting to 2 community hospitals in central Maryland. In each case, poor feeding and lethargy were the chief complaints. One patient was referred to the emergency department with suspected sepsis and one with suspected intussusception. Three patients required endotracheal intubation. All were treated with botulism immune globulin, and all eventually made full recoveries. We discuss the differential diagnosis and provide an overview of infant botulism.
Michael R Clemmens; Laurel Bell
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Pediatric emergency care     Volume:  23     ISSN:  1535-1815     ISO Abbreviation:  Pediatr Emerg Care     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-08-01     Completed Date:  2007-08-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8507560     Medline TA:  Pediatr Emerg Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  492-4     Citation Subset:  IM    
Anne Arundel Medical Center, George Washington University School of Medicine, Annapolis, MD 21401, USA.
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MeSH Terms
Botulism / diagnosis*,  drug therapy,  physiopathology
Diagnosis, Differential
Immunoglobulins / therapeutic use
Intubation, Intratracheal
Reg. No./Substance:
0/Immunoglobulins; 0/botulism immune globulin

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