Diplopia as the primary presentation of foodborne botulism

Foodborne botulism is a serious condition caused by Clostridium botulinum neurotoxin. Clinically, botulism presents as bilateral cranial nerve neuropathy and descending paralysis. We report a unique presentation of botulism to remind clinicians of this potentially fatal condition. In this observatio...

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Main Authors: Hamid Khakshoor, Ali Akbar Saber Moghaddam, Amir Hossein Vejdani, Blair K Armstrong, Majid Moshirfar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Oman Journal of Ophthalmology
Subjects:
Online Access:http://www.ojoonline.org/article.asp?issn=0974-620X;year=2012;volume=5;issue=2;spage=109;epage=111;aulast=Khakshoor
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author Hamid Khakshoor
Ali Akbar Saber Moghaddam
Amir Hossein Vejdani
Blair K Armstrong
Majid Moshirfar
author_facet Hamid Khakshoor
Ali Akbar Saber Moghaddam
Amir Hossein Vejdani
Blair K Armstrong
Majid Moshirfar
author_sort Hamid Khakshoor
collection DOAJ
description Foodborne botulism is a serious condition caused by Clostridium botulinum neurotoxin. Clinically, botulism presents as bilateral cranial nerve neuropathy and descending paralysis. We report a unique presentation of botulism to remind clinicians of this potentially fatal condition. In this observational case report initial evaluation showed only esodeviation. This progressed to unilateral cranial nerve six (CN VI) paresis along with systemic signs. Clinical diagnosis was made based on in-depth history and concurrent symptoms in three other patients. Foodborne botulism presenting as diplopia and unilateral motility deficits is rare and can represent a diagnostic and therapeutic challenge to the ophthalmologist.
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spelling doaj.art-e0f7c1158f954947b441954de3520a792022-12-22T03:55:17ZengWolters Kluwer Medknow PublicationsOman Journal of Ophthalmology0974-620X2012-01-015210911110.4103/0974-620X.99375Diplopia as the primary presentation of foodborne botulismHamid KhakshoorAli Akbar Saber MoghaddamAmir Hossein VejdaniBlair K ArmstrongMajid MoshirfarFoodborne botulism is a serious condition caused by Clostridium botulinum neurotoxin. Clinically, botulism presents as bilateral cranial nerve neuropathy and descending paralysis. We report a unique presentation of botulism to remind clinicians of this potentially fatal condition. In this observational case report initial evaluation showed only esodeviation. This progressed to unilateral cranial nerve six (CN VI) paresis along with systemic signs. Clinical diagnosis was made based on in-depth history and concurrent symptoms in three other patients. Foodborne botulism presenting as diplopia and unilateral motility deficits is rare and can represent a diagnostic and therapeutic challenge to the ophthalmologist.http://www.ojoonline.org/article.asp?issn=0974-620X;year=2012;volume=5;issue=2;spage=109;epage=111;aulast=KhakshoorDiplopiaflaccid paralysisfoodborne botulism
spellingShingle Hamid Khakshoor
Ali Akbar Saber Moghaddam
Amir Hossein Vejdani
Blair K Armstrong
Majid Moshirfar
Diplopia as the primary presentation of foodborne botulism
Oman Journal of Ophthalmology
Diplopia
flaccid paralysis
foodborne botulism
title Diplopia as the primary presentation of foodborne botulism
title_full Diplopia as the primary presentation of foodborne botulism
title_fullStr Diplopia as the primary presentation of foodborne botulism
title_full_unstemmed Diplopia as the primary presentation of foodborne botulism
title_short Diplopia as the primary presentation of foodborne botulism
title_sort diplopia as the primary presentation of foodborne botulism
topic Diplopia
flaccid paralysis
foodborne botulism
url http://www.ojoonline.org/article.asp?issn=0974-620X;year=2012;volume=5;issue=2;spage=109;epage=111;aulast=Khakshoor
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AT amirhosseinvejdani diplopiaastheprimarypresentationoffoodbornebotulism
AT blairkarmstrong diplopiaastheprimarypresentationoffoodbornebotulism
AT majidmoshirfar diplopiaastheprimarypresentationoffoodbornebotulism