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Non-invasive diagnosis of diaphragmatic paralysis in botulism using ultrasound.
Cheong, Issac; Imbelloni, Mariano Iván; Gómez, Raúl Alejandro; Álvarez Vilariño, Federico Matías; Baiona, Gastón Adrián; Tamagnone, Francisco Marcelo.
Afiliación
  • Cheong I; Department of Critical Care Medicine, Sanatorio de Los Arcos, Buenos Aires, Argentina; Argentinian Critical Care Ultrasonography Association (ASARUC), Argentina. Electronic address: issac_cheong@hotmail.com.
  • Imbelloni MI; Department of Critical Care, Clínica de Internación Aguda en Rehabilitación y Cirugía (CIAREC), Buenos Aires, Argentina.
  • Gómez RA; Department of Critical Care Medicine, Sanatorio de Los Arcos, Buenos Aires, Argentina.
  • Álvarez Vilariño FM; Department of Critical Care Medicine, Sanatorio de Los Arcos, Buenos Aires, Argentina.
  • Baiona GA; Department of Critical Care Medicine, Sanatorio de Los Arcos, Buenos Aires, Argentina; Department of Critical Care, Clínica de Internación Aguda en Rehabilitación y Cirugía (CIAREC), Buenos Aires, Argentina.
  • Tamagnone FM; Argentinian Critical Care Ultrasonography Association (ASARUC), Argentina.
Toxicon ; 239: 107609, 2024 Feb 23.
Article en 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Insuficiencia Respiratoria / Parálisis Respiratoria / Toxinas Botulínicas / Botulismo Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Humans / Male / Middle aged Idioma: En Revista: Toxicon Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Insuficiencia Respiratoria / Parálisis Respiratoria / Toxinas Botulínicas / Botulismo Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Humans / Male / Middle aged Idioma: En Revista: Toxicon Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido