Indiana University Infectious Diseases Fellowship
7 Oct 20,
8 tweets, 3 min read
#idboardreview 55 F 🇪🇬Egyptian presents w/ hypotensive shock post 16hrs of abd pain, V & D, blurry vision, dyspnea, chest pain & difficulty speaking. +ophthalmoplegia +bilateral ptosis. 2d prior ate fesikh for Sham el-Nessim. Diagnosis? #medEd #IDMedEd 
Food borne #botulism cdc.gov/mmwr/volumes/6…
#Botulism caused by potent neurotoxin produced from Clostridium botulinum: anaerobic, spore-forming bacteria.
Foodborne botulism occurs when a person ingests botulinum toxin, which leads to illness within a few hours-days. M.c unsafe prep of home canned foods
Foodborne botulism occurs when a person ingests botulinum toxin, which leads to illness within a few hours-days. M.c unsafe prep of home canned foods
#Botulism Diplopia,
Blurred vision, Ptosis, Slurred speech, Dysphagia, Dry mouth.
Muscle weakness differs from other flaccid paralyses: initially prominent cranial nerve palsies. invariable descending progression, symmetric & absence of sensory nerve dysfunction
Blurred vision, Ptosis, Slurred speech, Dysphagia, Dry mouth.
Muscle weakness differs from other flaccid paralyses: initially prominent cranial nerve palsies. invariable descending progression, symmetric & absence of sensory nerve dysfunction
clinical dx: Do not wait for lab confirmation to begin treatment. Lab confirmation +botulinum toxin in serum, stool, or food, or by culturing C. botulinum, C. butyricum, or C. baratii from stool, or a wound.
To: botulinum anti-toxin ASAP. Antitoxin does not reverse paralysis but arrests its progression. Recovery follows the regeneration of new neuromuscular connections cdc.gov/botulism/healt…
• • •
Missing some Tweet in this thread? You can try to
force a refresh
