Two cases of sporadic severe food-borne botulism

VernacularTitle:散发重度食源性肉毒杆菌中毒2例
Author: Dongdong XUE ¹ ; Ximei LI ; Jianghong CAO ; Feifei YANG ; Lili ZHU ; Qingmei GONG
Author Information

1. 山西省人民医院重症医学科，太原　030000
Keywords: Botulism; Botox; Signs and symptoms
From: Chinese Journal of General Practitioners 2022;21(10):975-977
CountryChina
Language:Chinese
Abstract: Two female patients with acute onset of sporadic food-borne botulism are reported. Both patients presented cranial nerve palsy symptoms and rapidly involving respiratory muscles causing respiratory failure. The tracheal intubation, mechanical ventilation and active supportive measures were given at admission. The skull imaging and cerebrospinal fluid examination were negative, and the electromyography showed peripheral motor nerve damage. One patient was complicated with severe pneumonia. The botulinum toxin test was positive, and botulism poisoning was diagnosed. After early targeted treatment, patients were improved and discharged. Both patients had no complications and recurrence after discharge in 8 months of follow-up.