Abdulla C O, Ayubi A, Zulfiquer F, Santhanam G, Ahmed M A S, Deeb J
Paediatrics Department, BHR University Hospitals, London, UK.
BMJ Case Rep. 2012 Sep 7;2012:bcr1120115153. doi: 10.1136/bcr.11.2011.5153.
An apparently well baby girl born at term was presented with signs and symptoms suggestive of acute onset of generalised floppiness at the age of 3 months. Clinically, the baby had lower motor neuron type of muscle weakness; detailed investigation lead to the diagnosis of neuromuscular junction disorder secondary to botulism toxicity. Further tests confirmed the botulism toxicity secondary to honey ingestion. The baby was treated with specific anticlostridium antibodies; she recovered remarkably, now growing and developing normally.
一名足月出生的看似健康的女婴,在3个月大时出现了提示急性全身性松软发作的体征和症状。临床上,该婴儿存在下运动神经元型肌无力;详细检查后诊断为肉毒中毒继发的神经肌肉接头疾病。进一步检查证实是因摄入蜂蜜继发肉毒中毒。该婴儿接受了特异性抗梭状芽孢杆菌抗体治疗;她恢复得非常好,现在生长发育正常。