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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
Summary
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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