Hospital-acquired intestinal toxemia botulism in a newly diagnosed adult colon cancer patient.
Journal
Revista do Instituto de Medicina Tropical de Sao Paulo
ISSN: 1678-9946
Titre abrégé: Rev Inst Med Trop Sao Paulo
Pays: Brazil
ID NLM: 7507484
Informations de publication
Date de publication:
12 Sep 2019
12 Sep 2019
Historique:
received:
13
07
2019
accepted:
15
08
2019
entrez:
19
9
2019
pubmed:
19
9
2019
medline:
24
9
2019
Statut:
epublish
Résumé
This manuscript reports a case of intestinal toxemia botulism in an adult with recently diagnosed metastatic colon cancer in whom botulism symptoms began 23 days after hospital admission. Representing the rarest form of botulism presentation in clinical practice, this infectious disease may have developed due to a cluster of predisposing factors that favored Clostridium botulinum colonization and the endogenous production of neurotoxins, among which are previous use of broad-spectrum antibiotics and colon changes related to the development of the neoplasia. This case highlights the importance of considering intestinal toxemia botulism in the differential diagnosis of a patient presenting with symmetrical descending flaccid paralysis, since immediate treatment with botulinum antitoxin may improve clinical outcomes.
Identifiants
pubmed: 31531627
pii: S0036-46652019005000506
doi: 10.1590/S1678-9946201961049
pmc: PMC6746195
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
e49Références
Clin Infect Dis. 1999 Dec;29(6):1381-7
pubmed: 10585782
Semin Neurol. 2004 Jun;24(2):155-63
pubmed: 15257512
Clin Infect Dis. 2005 Oct 15;41(8):1167-73
pubmed: 16163636
Disaster Med Public Health Prep. 2007 Nov;1(2):122-34
pubmed: 18388640
Clin Infect Dis. 2009 Jun 15;48(12):1674-5
pubmed: 19435432
Emerg Infect Dis. 2012 Jan;18(1):1-6
pubmed: 22257757
Oman J Ophthalmol. 2012 May;5(2):109-11
pubmed: 22993467
Cochrane Database Syst Rev. 2014 Feb 20;(2):CD008123
pubmed: 24558013
Pediatr Rev. 2016 May;37(5):183-92
pubmed: 27139326
Clin Infect Dis. 2017 Dec 27;66(suppl_1):S99-S102
pubmed: 29293935
Mayo Clin Proc Innov Qual Outcomes. 2018 Aug 03;2(3):291-296
pubmed: 30225463
Infect Dis (Lond). 2019 Feb;51(2):91-96
pubmed: 30663916
Toxins (Basel). 2019 Jul 17;11(7):null
pubmed: 31319550
N Engl J Med. 1986 Jul 24;315(4):239-41
pubmed: 3523248
N Engl J Med. 1986 Jul 24;315(4):254-5
pubmed: 3523249