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    A Case of Botulism Fast Adjusting with Antitoxin Administration in the Early Period and the Use of Electromyography in Diagnosis
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    Case Report
    VOLUME: 8 ISSUE: 2
    P: 114-116
    August 2021

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

    J Pediatr Emerg Intensive Care Med 2021;8(2):114-116
    DOI: 10.4274/cayd.galenos.2020.20981
    Edin Botan 1
    Serhan Özcan 1
    Merve Havan 1
    Emrah Gün 1
    Merve Feyza Yüksel 2
    Serdar Balsak 1
    Özge Güzelmansur 3
    Ömer Bektaş 2
    Tanıl Kendirli 1
    1. Ankara Üniversitesi Tıp Fakültesi, Çocuk Yoğun Bakım Bilim Dalı, Ankara, Türkiye
    2. Ankara Üniversitesi Tıp Fakültesi, Çocuk Nöroloji Bilim Dalı, Ankara, Türkiye
    3. Ankara Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Bilim Dalı, Ankara, Türkiye
    No information available.
    No information available
    Received Date: 15.01.2020
    Accepted Date: 17.06.2020
    Publish Date: 24.06.2021
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    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.

    Keywords: Botulism, electroneuromyography, flask paralysis

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