Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/77840
Type: Artigo de Periódico
Title: Hospital-acquired intestinal toxemia botulism in a newly diagnosed adult colon cancer patient
Authors: Lucas José Sá da Fonseca
Diogo Couto de Carvalho
Helena Providelli de Moraes
Izabela Dayany França Feitosa
Gil Pereira Neto
Rodrigo Vasconcellos Vilela
Breno Franco Silveira Fernandes
Rodrigo Santiago Gomez
Vandack Nobre
Abstract: This manuscript reports a case of intestinal toxemia botulism in an adult with recently diagnosed metastatic colon cancer in whom botulism symptoms began 23 days after hospital admission. Representing the rarest form of botulism presentation in clinical practice, this infectious disease may have developed due to a cluster of predisposing factors that favored Clostridium botulinum colonization and the endogenous production of neurotoxins, among which are previous use of broad-spectrum antibiotics and colon changes related to the development of the neoplasia. This case highlights the importance of considering intestinal toxemia botulism in the differential diagnosis of a patient presenting with symmetrical descending flaccid paralysis, since immediate treatment with botulinum antitoxin may improve clinical outcomes.
Subject: Botulismo
Neuropatia
Diagnóstico
Junção Neuromuscular
Clostridium botulinum
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: MED - DEPARTAMENTO DE CLÍNICA MÉDICA
Rights: Acesso Aberto
metadata.dc.identifier.doi: 10.1590/s1678-9946201961049
URI: http://hdl.handle.net/1843/77840
Issue Date: 2019
metadata.dc.url.externa: https://www.scielo.br/j/rimtsp/a/BcjpzVnHy3C3ZbvTBsqW5Pb/
metadata.dc.relation.ispartof: Revista do Instituto de Medicina Tropical de São Paulo
Appears in Collections:Artigo de Periódico



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