Flaccid paralysis in an infant associated with a dirty wound and application of honey.
BMJ Case Rep
; 20172017 Jan 06.
Article
en En
| MEDLINE
| ID: mdl-28062435
ABSTRACT
An infant, who was born preterm at 36â
weeks, presented with fever and ulcer at umbilical region which progressed to necrotising fasciitis of anterior abdominal wall. He was treated with intravenous penicillin, intravenous cloxacillin and local application of medicated honey. Subsequently, he required wound debridement. Postoperatively, he required prolonged invasive ventilation due to poor respiratory effort which was associated with hypotonia and areflexia. Nerve conduction study revealed absent responses. The diagnosis of infant botulism was made based on the clinical presentation, nerve conduction study and his clinical progress. Botulinum immunoglobulin was not available. He was treated with intravenous immunoglobulin and oral pyridostigmine. He was successfully extubated after 37â
days, and currently the patient is doing well.
Texto completo:
1
Bases de datos:
MEDLINE
Métodos Terapéuticos y Terapias MTCI:
Terapias_biologicas
/
Apiterapia
Asunto principal:
Bromuro de Piridostigmina
/
Botulismo
/
Inhibidores de la Colinesterasa
/
Inmunoglobulinas Intravenosas
/
Fascitis Necrotizante
/
Miel
Tipo de estudio:
Diagnostic_studies
/
Risk_factors_studies
Idioma:
En
Revista:
BMJ Case Rep
Año:
2017
Tipo del documento:
Article
País de afiliación:
Malasia