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Journals / Çocuk Acil ve Yoğun Bakım Dergisi / 2021 / Cilt: 8 - Sayı: 2

A Case of Botulism Fast Adjusting with Antitoxin Administration in the Early Period and the Use of Electromyography in Diagnosis

Erken Dönemde Antitoksin Uygulaması ile Hızla Düzelen Bir Botulizm Olgusu ve Tanıda Elektromiyografinin Kullanımı

Edin BOTAN
Serhan ÖZCAN
Merve HAVAN
Emrah GÜN
Merve Feyza YÜKSEL
Serdar BALSAK
Özge GÜZELMANSUR
Ömer BEKTAŞ
Tanıl KENDİRLİ
Pages
114–116
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Although toxin cannot be detected in patients, ENMG findings play an important role in the diagnosis of botulism.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Botulism is a rare but potentially life-threatening neuroparalytic syndrome caused by the action of a neurotoxin caused by the bacterium Clostridium botulinum.
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Key Findings & Data:The patient was admitted to the emergency department with complaints of dysarthria and sleepiness at the age of 7 years.
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Conclusion & Impact:Although toxin cannot be detected in patients, ENMG findings play an important role in the diagnosis of botulism.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Botulism is a rare but potentially life-threatening neuroparalytic syndrome caused by the action of a neurotoxin caused by the bacterium Clostridium botulinum. Early diagnosis and early treatment is important. In cases where botulism occurs sporadically, there is a need for easily applicable and rapid methods for diagnosis. The patient was admitted to the emergency department with complaints of dysarthria and sleepiness at the age of 7 years. During follow-up, bilateral ptosis, nystagmus, facial asymmetry, double vision and dysphagia developed. Electroneuromyography (ENMG) was performed in our case. It was evaluated as compatible with botulismus. Antitoxin treatment was performed. Six hours after the end of the antitoxin infusion, the ocular findings regressed, swallowing function improved, and dysarthric speech improved. Inconclusion, ENMG is found to be helpful in treatment decisions before toxin detection. Although toxin cannot be detected in patients, ENMG findings play an important role in the diagnosis of botulism.

Özet

Botulizm, Clostridium botulinum bakterisinin oluşturduğu bir nörotoksinin etkisinden kaynaklanan, nadir ancak potansiyel olarak yaşamı tehdit eden nöroparalitik bir sendromdur. Tanıya erken zamanda ulaşılıp, tedaviye erken başlanması önemlidir. Botulizm özellikle sporadik olarak ortaya çıktığı durumlarda tanı için kolay uygulanabilir, hızlı sonuç veren yardımcı yöntemlere ihtiyaç vardır. Yedi yaş olgu uykuya meyil ve dizartrik konuşma şikayetiyle acil servise başvurdu. İzleminde bilateral pitozis, nistagmus, fasiyal asimetri, çift görme, yutma güçlüğü gelişti. Olgumuza elektronöromiyografi (ENMG) yapıldı. Botulizm ile uyumlu olarak değerlendirildi. Antitoksin uygulaması yapıldı. Antitoksin enfüzyonu bitiminden 6 saat sonra göz bulguları geriledi, yutma işlevi düzeldi, dizartrik konuşması düzeldi. ENMG’nin, toksin tespiti ile tanı konulmadan önce, tedavi kararlarında yardımcı olduğu görüldü. Sonuç olarak, toksin hastalarda tespit edilemese de, ENMG bulguları, botulizm tanısında önemli rol oynamaktadır. Akut başlangıçlı flask paralizi durumunda botulizm akla gelmelidir.

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Cite This Article

BOTAN, E., ÖZCAN, S., HAVAN, M., GÜN, E., YÜKSEL, M. F., BALSAK, S., GÜZELMANSUR, Ö., BEKTAŞ, Ö., KENDİRLİ, T. (2021). A Case of Botulism Fast Adjusting with Antitoxin Administration in the Early Period and the Use of Electromyography in Diagnosis. Çocuk Acil ve Yoğun Bakım Dergisi, Cilt: 8 - Sayı: 2, 114–116. https://ajindex.com/articles/400397

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