Saturday, February, 11, 2012

Botulism

Table of Contents

Symptoms

Symptoms usually appear 8 - 36 hours after consuming contaminated food. There is NO fever with this infection.

In adults, symptoms may include:

  • Abdominal cramps
  • Breathing difficulty that may lead to respiratory failure
  • Difficulty swallowing and speaking
  • Double vision
  • Dry mouth
  • Nausea
  • Temporary lack of breathing
  • Vomiting
  • Weakness with paralysis (equal on both sides of the body)

Symptoms in infants may include:

  • Constipation
  • Weakness, loss of muscle tone
  • Weak cry
  • Poor feeding and weak sucking
  • Respiratory distress
  • Alertness, despite weakness

Signs and tests

The doctor will perform a physical exam. There may be signs of:

  • Absent or decreased deep tendon reflexes
  • Absent or decreased gag reflex
  • Eyelid drooping
  • Muscle function/feeling loss
  • Paralyzed bowel
  • Speech impairment
  • Urine retention with inability to urinate

Blood tests can be done to identify the toxin. A stool culture may also be ordered. Lab tests can be done on the suspected food to confirm botulism.


Images

Bacteria

Review Date: 08/28/2009
Reviewed By: Linda Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)