Non-invasive diagnosis of diaphragmatic paralysis in botulism using ultrasound.
Toxicon
; 239: 107609, 2024 Feb 23.
Article
de En
| MEDLINE
| ID: mdl-38216093
ABSTRACT
This case study explores foodborne botulism, a severe illness caused by botulinum neurotoxin-contaminated food. It leads to bilateral descending paralysis, involving the diaphragm. We highlight diaphragmatic ultrasound as a non-invasive diagnostic tool. A 50-year-old obese male developed diplopia and weakness after consuming contaminated food, rapidly progressing to severe symptoms. Mechanical ventilation became necessary due to respiratory failure. Diaphragmatic ultrasound confirmed bilateral diaphragm paralysis despite early antitoxin treatment. The patient experienced complications, requiring tracheostomy and rehabilitation. After five months, he fully recovered diaphragmatic function. This study underscores botulism's life-threatening nature and the vital role of supportive care. Diaphragmatic ultrasound is a safe and effective method for assessing diaphragmatic function in such cases, obviating ionizing radiation exposure. We recommend its routine use for evaluating botulism-induced paralysis.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Insuffisance respiratoire
/
Paralysie des muscles respiratoires
/
Toxines botuliniques
/
Botulisme
Type d'étude:
Diagnostic_studies
/
Etiology_studies
Limites:
Humans
/
Male
/
Middle aged
Langue:
En
Journal:
Toxicon
Année:
2024
Type de document:
Article