[Three infants with constipation and muscular weakness: infantile botulism]

Y Thomasse1, J P Arends, P A van der Heide

  • 1Universitair Medisch Centrum Groningen, 9700 RB Groningen.

Insights

Infantile botulism, caused by Clostridium botulinum toxin, can present with apathy and weakness in infants. Honey consumption is a risk factor, and infants under 12 months should avoid it.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Toxicology

Background:

  • Infantile botulism is a rare but serious condition.
  • Early diagnosis and intervention are crucial for infant outcomes.

Observation:

  • Three previously healthy infants presented with apathy, muscle weakness, and constipation.
  • One infant developed respiratory insufficiency, requiring hospitalization.

Findings:

  • Clostridium botulinum toxin was detected in the serum of all three infants.
  • Type-B toxin was identified in two infants who recovered; Type-A toxin was found in the infant who died.
  • Honey consumption was noted in two of the affected infants.

Implications:

  • Infantile botulism should be suspected in infants with hypotonia and constipation.
  • Electromyography with repetitive stimulation can aid rapid diagnosis.
  • Honey is a known source of Clostridium botulinum spores and should be avoided in infants under 12 months.

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