title: Serum positive botulism with neuropathic features.
abstract: A 32-year-old man presented with multiple cranial neuropathies and his serum was positive for botulism type B. However, serial electrodiagnostic studies were consistent with a primarily neuropathic process, such as Fisher syndrome, rather than a neuromuscular junction disorder. Electrodiagnostic study findings in patients with presumed neuromuscular junction disorders may mimic findings suggestive of a neuropathic process, or the bioassay for botulism may be falsely positive in patients with Fisher Syndrome.
authors.affiliation: Department of Rehabilitation Medicine, University of Washington Medical Center, Seattle, USA.
authors.forename: V H
authors.initials: VH
authors.lastname: Chang
authors.forename: L R
authors.initials: LR
authors.lastname: Robinson
mesh_terms: D000328:Adult; D001906:Botulism / Q000097:blood / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004568:Electrodiagnosis; D004576:Electromyography; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D008297:Male; D019846:Miller Fisher Syndrome / Q000175:diagnosis* / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D016756:Immunoglobulins, Intravenous