title: Infantile botulism.
abstract: We present the first two known cases of infantile botulism in Oklahoma. The first case was due to type B toxin; the second was due to type A toxin. Both cases demonstrate most of the classic features of what now appears to be the most common form of botulism. Infantile botulism is an underrecognized but reversible cause of hypotonia. In most cases, the prognosis is excellent with institution of appropriate supportive care. The recognition of cranial nerve palsies or a history of constipation should raise the suspicion of infantile botulism. Aminoglycoside antibiotics and other agents that may precipitate or exacerbate neuromuscular blockade should be used with extreme caution in hypotonic infants until the cause of the hypotonia is clearly identified.
authors: Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City.
authors: C T
authors: CT
authors: Gay
authors: W A
authors: WA
authors: Marks
authors: H D
authors: HD
authors: Riley
authors: J B
authors: JB
authors: Bodensteiner
authors: M
authors: M
authors: Hamza
authors: P A
authors: PA
authors: Noorani
authors: G B
authors: GB
authors: Bobele
mesh_terms: D001905:Botulinum Toxins / Q000302:isolation & purification; D001906:Botulism / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D001942:Breast Feeding; D005260:Female; D006801:Humans; D007223:Infant; D007225:Infant Food; D008297:Male; D009825:Oklahoma
chemical_list: D001905:Botulinum Toxins