Indiana University Infectious Diseases Fellowship
23 Jan,
5 tweets, 2 min read
#idboardreview 12 prisoners from Mississippi jail present with varying symptoms of acute b/l cranial neuropathies and descending weakness after drinking 'hooch'. Diagnosis? #medEd #idmedEd 
#botulism Hooch is defined as an illicitly made alcoholic beverage cdc.gov/mmwr/volumes/6…
honey, potatoes, apples & tomato paste from a bulging can were combined, hidden, fermented in sealed plastic bag at room temperature for 3–5 days. Possible sources of Clostridium botulinum or toxin include tomato paste, potatoes, contamination from the environment.
gram positive strictly anaerobic bacillus that forms a subterminal spore. Presumptive dx based on clinical presentation: symmetric descending paralysis, b/l CN palsies/ supportive care, antitoxin
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