Infant botulism

Injury	Disease	Nutrition	Poison

Symptoms	Surgery	Test	Special Topic

Infant intestines

Infant botulism

Treatment:

The mainstay of treatment is supportive and may include keeping the airway clear, observing for respiratory difficulty, and ensuring adequate nutrition. If respiratory distress develops, respiratory support including use of a ventilator may be indicated.

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Botulism immune globulin (BIG) is a new form of treatment recently tested for infants with botulism. Although it is not a cure, studies have shown that BIG may reduce the duration and severity of infant botulism. You should discuss the risks and benefits of this treatment with your doctor.

Antibiotics do not appear to increase the rate of improvement. Antibiotics are not needed unless a secondary infection, such as pneumonia, develops.

The use of human-derived botulinum antitoxin may also be of benefit.

Expectations (prognosis):

Full recovery is expected with early recognition and supportive treatment. Death or permanent disability may result in complicated cases.

Complications:

Respiratory insufficiency can develop, requiring assistance with breathing (mechanical ventilation).

Calling your health care provider:

Since infant botulism can be life-threatening, go to the emergency room or call the local emergency number (such as 911) immediately if your infant has one or more of the symptoms of botulism.