Botulism disguised as parotitis

Botulism is an acute toxin-mediated neuroparalytic syndrome caused by some Clostridium species. It typically presents itself as an acute symmetric descending paralysis of cranial and peripheral nerves, which can potentially evolve to respiratory failure and death. We report a case of botulism diagnosed in a patient presenting with a parotitis probably due to xerostomia, even though he had already sought medical assistance for blurred vision and dysphagia. The neurological symptoms resolved without administration of antitoxin and botulism diagnosis was confirmed with identification of both toxins B and F in patient's serum. We aim to illustrate the need for a high clinical suspicion for the diagnosis of botulism and to report an atypical case of botulism with the production of toxins B and F, the latter being of rare occurrence.

Palavras-chave

Botulism Neurotoxin Parotitis Segurança Alimentar

URI

http://hdl.handle.net/10400.18/7261

Citação

IDCases. 2020 May 25;21:e00839. doi: 10.1016/j.idcr.2020.e00839. eCollection 2020

Editora

Elsevier

DOI

10.1016/j.idcr.2020.e00839

Coleções

DAN - Artigos em revistas internacionais

Licença CC

cclicense-by-nc-nd

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