Godart V, Dan B, Mascart G, Fikri Y, Dierick K, Lepage P
Unité de pédiatrie générale, hôpital universitaire des enfants Reine-Fabiola, université Libre de Bruxelles, Bruxelles, Belgique.
Unité de neurologie, hôpital universitaire des enfants Reine-Fabiola, université Libre de Bruxelles, Bruxelles, Belgique.
Arch Pediatr. 2014 Jun;21(6):628-31. doi: 10.1016/j.arcped.2014.03.009. Epub 2014 Apr 24.
Infant botulism is a rare neuroparalytic disease caused by the neurotoxin of Clostridium botulinum. Initial clinical features are constipation, poor feeding, descending hypotonia, drooling, irritability, weak crying and cranial nerve dysfunctions. We describe the clinical progression and the epidemiological investigation carried out in a 3-month-old infant. Better knowledge of the disease should allow faster diagnosis and adequate management. We emphasize the risks associated with honey exposure in children less than one year old and that honey should not be fed to infants under 12 months of age.
婴儿肉毒杆菌中毒是一种由肉毒梭菌神经毒素引起的罕见神经麻痹性疾病。最初的临床特征为便秘、喂养困难、进行性肌张力减退、流涎、易激惹、哭声微弱及脑神经功能障碍。我们描述了一名3个月大婴儿的临床病程及流行病学调查情况。对该疾病更深入的了解应有助于更快诊断及适当处理。我们强调1岁以下儿童接触蜂蜜的风险，且不应给12个月以下的婴儿喂食蜂蜜。
