Botulism: An Overlooked Cause of Bulbar Weakness in Intensive Care - A Case Report.

ABSTRACT:

Introduction

Botulism is a rare but potentially life-threatening syndrome caused by botulinum neurotoxin. The classic presentation of botulism is the acute onset of bilateral cranial neuropathies associated with symmetric descending weakness. The antitoxin is the main therapeutic option for botulism, in addition to supportive care with intubation and mechanical ventilation when necessary. The outcome is usually favorable, with a slow but full neurological recovery. This case presents a difficult diagnosis of the sporadic form of adult intestinal toxemia, with a delayed diagnosis.

Case presentation

We report a 64-year-old patient who presented in a confused state with weakness in the limbs, bilateral ptosis, and dysarthria. Because of disease progression with respiratory comp

SUBMITTER: Adams L 

PROVIDER: S-EPMC11781810 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature