Kuratle M, Baldinger R, Lienhardt Nobbe B, Dreessen P, Yuen B
Interdisziplinäre Intensivstation, Spital Bülach, 8180, Bülach, Schweiz.
Doktor Zentrum Wettingen, Bahnhofstraße 88, 5430, Wettingen, Schweiz.
Med Klin Intensivmed Notfmed. 2019 Feb;114(1):59-62. doi: 10.1007/s00063-018-0430-1. Epub 2018 Apr 11.
In this article, a case of severe foodborne botulism in a 78-year-old man due to homemade pesto is presented. His initial symptoms were gastrointestinal problems. Later he suffered of cranial nerve palsies, muscle weakness of the upper extremities and respiratory failure, so he had to be admitted to the intensive care unit for mechanical ventilation. The botulism was confirmed by serology and culture. Because of spontaneously improving neurological deficits, we decided not to treat with the botulism antitoxin and the patient had complete clinical remission.
本文介绍了一例78岁男性因自制香蒜酱导致严重食源性肉毒中毒的病例。他最初的症状是胃肠道问题。后来，他出现了颅神经麻痹、上肢肌肉无力和呼吸衰竭，因此不得不入住重症监护病房进行机械通气。通过血清学和培养确诊为肉毒中毒。由于神经功能缺损自发改善，我们决定不使用肉毒抗毒素进行治疗，患者临床完全缓解。
