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[Botulism in newborn infants]

P A Tølløfsrud1, E A Kvittingen, P E Granum

  • 1Nyfødtseksjonen, Barneklinikken, Rikshospitalet, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|January 16, 1999
PubMed
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Infant botulism, caused by Clostridium botulinum type A, is rare in Europe. This case highlights the risk of honey consumption in infants, even with imported products.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Toxicology

Background:

  • Infant botulism is the most common form of botulism, predominantly reported in the USA.
  • The condition is rare in Europe, with limited documented cases.

Observation:

  • A three-month-old infant in Norway developed botulism symptoms after consuming Argentinian honey.
  • Clinical presentation included presynaptic neuromuscular dysfunction confirmed by electromyography.

Findings:

  • Diagnosis was confirmed by detecting Clostridium botulinum type A neurotoxin in the infant's faeces.
  • The infant recovered fully with supportive care, including breast-milk and lactobacillus supplementation.

Implications:

  • Infants under one year are at risk due to their developing intestinal flora.

Related Experiment Videos

  • Honey ingestion is a known risk factor, emphasizing the need for caution with honey consumption in infants.