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[Intussusception in infant with diagnostic botulism: A case report]

Roxana G Spini1, Verónica Ferraris1, María P Glasman1

  • 1Residencia de Clínica Pediátrica, Hospital General de Niños Pedro de Elizalde.

Archivos Argentinos De Pediatria
|August 22, 2015
PubMed

Insights

This case highlights a rare presentation of infant botulism mimicking intussusception. Early diagnosis and treatment with botulinum antitoxin are crucial for recovery from this serious condition.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Toxicology

Background:

  • Botulism is a serious public health concern, particularly in Argentina.
  • Diagnosis can be challenging due to rare and atypical presentations.
  • Infant botulism requires prompt recognition and intervention.

Observation:

  • A 4-month-old infant presented with constipation, weakness, and altered sensorium.
  • Initial symptoms suggested intussusception, leading to surgical intervention.
  • Post-operatively, the infant developed hypotonia and respiratory failure.

Findings:

  • Clostridium botulinum was identified in stool samples.
  • Botulinum toxin type A was detected in the infant's serum.
  • The infant was successfully treated with equine botulinum antitoxin.

Implications:

  • This case underscores the importance of considering infant botulism in infants with acute abdomen and neurological symptoms.
  • Timely administration of botulinum antitoxin is critical for patient outcomes.
  • Awareness of diverse clinical manifestations aids in preventing diagnostic delays.

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