Botulism disguised as parotitis
Botulism is an acute toxin-mediated neuroparalytic syndrome caused by some Clostridium species. It typically presents itself as an acute symmetric descending paralysis of cranial and peripheral nerves, which can potentially evolve to respiratory failure and death. We report a case of botulism diagno...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-01-01
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| Series: | IDCases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250920301475 |
| _version_ | 1818924194201600000 |
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| author | João Paulo Caldas Rita Filipe Rita Queirós António Grilo Novais Francisco Almeida Luís Malheiro Teresa Teixeira Lopes Margarida Saraiva Margarida Tavares António Sarmento |
| author_facet | João Paulo Caldas Rita Filipe Rita Queirós António Grilo Novais Francisco Almeida Luís Malheiro Teresa Teixeira Lopes Margarida Saraiva Margarida Tavares António Sarmento |
| author_sort | João Paulo Caldas |
| collection | DOAJ |
| description | Botulism is an acute toxin-mediated neuroparalytic syndrome caused by some Clostridium species. It typically presents itself as an acute symmetric descending paralysis of cranial and peripheral nerves, which can potentially evolve to respiratory failure and death. We report a case of botulism diagnosed in a patient presenting with a parotitis probably due to xerostomia, even though he had already sought medical assistance for blurred vision and dysphagia. The neurological symptoms resolved without administration of antitoxin and botulism diagnosis was confirmed with identification of both toxins B and F in patient’s serum. We aim to illustrate the need for a high clinical suspicion for the diagnosis of botulism and to report an atypical case of botulism with the production of toxins B and F, the latter being of rare occurrence. |
| first_indexed | 2024-12-20T02:21:27Z |
| format | Article |
| id | doaj.art-d103bdf8087d40b29e8100cb4d3244eb |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-12-20T02:21:27Z |
| publishDate | 2020-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-d103bdf8087d40b29e8100cb4d3244eb2022-12-21T19:56:49ZengElsevierIDCases2214-25092020-01-0121e00839Botulism disguised as parotitisJoão Paulo Caldas0Rita Filipe1Rita Queirós2António Grilo Novais3Francisco Almeida4Luís Malheiro5Teresa Teixeira Lopes6Margarida Saraiva7Margarida Tavares8António Sarmento9Infectious Diseases Department, Centro Hospitalar Universitário de São João, Portugal; Corresponding author at: Infectious Diseases Department, Centro Hospitalar Universitário de São João, E.P.E, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal.Infectious Diseases Department, Centro Hospitalar Universitário de São João, PortugalInternal Medicine Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, PortugalInternal Medicine Department, Centro Hospitalar Tondela-Viseu, PortugalInfectious Diseases Department, Centro Hospitalar Universitário de São João, PortugalInfectious Diseases Department, Centro Hospitalar Universitário de São João, PortugalNational Institute of Health Doutor Ricardo Jorge, PortugalNational Institute of Health Doutor Ricardo Jorge, PortugalInfectious Diseases Department, Centro Hospitalar Universitário de São João, Portugal; Epi Unit, Institute of Public Health of the University of Porto, PortugalInfectious Diseases Department, Centro Hospitalar Universitário de São João, Portugal; University of Porto Medical School, PortugalBotulism is an acute toxin-mediated neuroparalytic syndrome caused by some Clostridium species. It typically presents itself as an acute symmetric descending paralysis of cranial and peripheral nerves, which can potentially evolve to respiratory failure and death. We report a case of botulism diagnosed in a patient presenting with a parotitis probably due to xerostomia, even though he had already sought medical assistance for blurred vision and dysphagia. The neurological symptoms resolved without administration of antitoxin and botulism diagnosis was confirmed with identification of both toxins B and F in patient’s serum. We aim to illustrate the need for a high clinical suspicion for the diagnosis of botulism and to report an atypical case of botulism with the production of toxins B and F, the latter being of rare occurrence.http://www.sciencedirect.com/science/article/pii/S2214250920301475BotulismNeurotoxinParotitis |
| spellingShingle | João Paulo Caldas Rita Filipe Rita Queirós António Grilo Novais Francisco Almeida Luís Malheiro Teresa Teixeira Lopes Margarida Saraiva Margarida Tavares António Sarmento Botulism disguised as parotitis IDCases Botulism Neurotoxin Parotitis |
| title | Botulism disguised as parotitis |
| title_full | Botulism disguised as parotitis |
| title_fullStr | Botulism disguised as parotitis |
| title_full_unstemmed | Botulism disguised as parotitis |
| title_short | Botulism disguised as parotitis |
| title_sort | botulism disguised as parotitis |
| topic | Botulism Neurotoxin Parotitis |
| url | http://www.sciencedirect.com/science/article/pii/S2214250920301475 |
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