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Case Reports
. 2019 Feb;114(1):59-62.
doi: 10.1007/s00063-018-0430-1. Epub 2018 Apr 11.

[A case of sole supportive care of severe neuroparalytic foodborne botulism due to homemade pesto]

[Article in German]
M Kuratle  1   2 , R Baldinger  3 , B Lienhardt Nobbe  4 , P Dreessen  4 , B Yuen  4
Affiliations
Case Reports

[A case of sole supportive care of severe neuroparalytic foodborne botulism due to homemade pesto]

[Article in German]
M Kuratle et al. Med Klin Intensivmed Notfmed. 2019 Feb.

Abstract

In this article, a case of severe foodborne botulism in a 78-year-old man due to homemade pesto is presented. His initial symptoms were gastrointestinal problems. Later he suffered of cranial nerve palsies, muscle weakness of the upper extremities and respiratory failure, so he had to be admitted to the intensive care unit for mechanical ventilation. The botulism was confirmed by serology and culture. Because of spontaneously improving neurological deficits, we decided not to treat with the botulism antitoxin and the patient had complete clinical remission.

Keywords: Botulism; Clostridium botulinum; Foodborne botulism; Neurotoxin.

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