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Neuropediatrics 1997; 28(5): 287-289
DOI: 10.1055/s-2007-973716
Short communications

© Hippokrates Verlag GmbH Stuttgart

Infant Botulism. The First Culture-Confirmed Danish Case

T. Balslev1 , E. Østergaard3 , I. K. Madsen2 , D. A. Wandall3
  • 1Departments of Paediatrics, Aalborg Hospital, Reberbansgade, Aalborg
  • 2Departments of Anaesthesiology, Aalborg Hospital, Reberbansgade, Aalborg
  • 3Department of Clinical Microbiology, Statens Serum Institut, Artillerivej 5, Copenhagen S, Denmark
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Publication History

Publication Date:
13 March 2007 (online)

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Abstract

Infant botulism is caused by intestinal colonization by Clostridium botulinum, C. barati or C. butyricum. Infant botulism has only rarely been reported outside the USA. A 3-month-old boy developed constipation, lethargy, feeding difficulties and descending, severe, symmetric weakness. He was breastfed but had also been fed honey. Supportive care led to complete recovery. The serum was positive for C. botulinum toxin type A-F (mouse toxin neutralization assay). A strain of C. botulinum producing toxin type A and E was identified in the stool. C. botulinum was identified in a jar of honey of the same brand as the honey fed to the patient.

Key words

Infant botulism - Clostridium botulinum -Floppy infant

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