Infant botulism following honey ingestion - PubMed (original) (raw)

Case Reports

Infant botulism following honey ingestion

C O Abdulla et al. BMJ Case Rep. 2012.

Abstract

An apparently well baby girl born at term was presented with signs and symptoms suggestive of acute onset of generalised floppiness at the age of 3 months. Clinically, the baby had lower motor neuron type of muscle weakness; detailed investigation lead to the diagnosis of neuromuscular junction disorder secondary to botulism toxicity. Further tests confirmed the botulism toxicity secondary to honey ingestion. The baby was treated with specific anticlostridium antibodies; she recovered remarkably, now growing and developing normally.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None.

Figures

Figure 1

Figure 1

Stimulation single fibre electromyography (Stim SFEMG) study of right orbicularis oculi. The figure on the left shows a faster display of single fibre muscle action potentials and the right shows the superimposed display. The highlighted units (big white arrows) have an increased jitter measurement with mean consecutive difference (MCD) of 145 and 45 µs. The potential on the left is also blocking.

Similar articles

Cited by

References

    1. Midura TF, Arnon SS. Infant botulism. Identification of Clostridium botulinum and its toxins in faeces. Lancet 1976;2:934–6. - PubMed
    1. Pickett J, Berg B, Chaplin E, et al. Syndrome of botulism in infancy: clinical and electrophysiologic study. N Engl J Med 1976;295:770–2. - PubMed
    1. Koepke R, Sobel J, Arnon SS. Global occurrence of infant botulism, 1976-2006. Pediatrics 2008;122:e73–82. - PubMed
    1. Fenicia L, Anniballi F. Infant botulism. Ann Ist Super Sanita 2009;45:134–46. - PubMed
    1. Grant KA, Nwarfor I, Mpamugo O, et al. Report of two unlinked cases of infant botulism in the UK in October 2007. J Med Microbiol 2009;58:1601–6. - PubMed

Publication types

MeSH terms

Substances

LinkOut - more resources