title: Foodborne botulism in a six-month-old infant caused by home-canned baby food.
abstract: Previously reported cases of botulism in infants have been diagnosed as infant botulism; that is, botulism caused by intestinal colonization by Clostridium botulinum with intraluminal production and absorption of toxin. Foodborne botulism is caused by ingestion of preformed toxin. We describe an unusual case of foodborne botulism in a 6-month-old infant caused by the ingestion of improperly prepared home-canned baby food. This represents the youngest age of onset for foodborne botulism in the United States of which we are aware and illustrates the need to rule out foodborne botulism, which represents a public health emergency, regardless of the patient's age. The diagnosis could have been readily missed or delayed in this case because the weakness was rapidly progressive rather than insidious, as is typical of infant botulism.
authors.affiliation: Department of Emergency Medicine, Eastern Virginia Medical School, Norfolk, VA 23507-1999, USA. maarmada@cox.net
authors.forename: Manuel
authors.initials: M
authors.lastname: Armada
authors.forename: Suzanne
authors.initials: S
authors.lastname: Love
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Barrett
authors.forename: John
authors.initials: J
authors.lastname: Monroe
authors.forename: Dave
authors.initials: D
authors.lastname: Peery
authors.forename: Jeremy
authors.initials: J
authors.lastname: Sobel
mesh_terms: D017668:Age of Onset; D001681:Biological Assay; D001906:Botulism / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy; D003422:Critical Care / Q000379:methods; D003937:Diagnosis, Differential; D018450:Disease Progression; D004630:Emergencies; D004638:Emergency Treatment / Q000379:methods; D005511:Food Handling / Q000379:methods; D005516:Food Microbiology; D006801:Humans; D007223:Infant; D007225:Infant Food / Q000382:microbiology*; D008297:Male; D008487:Medical History Taking; D018908:Muscle Weakness / Q000382:microbiology; D011634:Public Health; D012121:Respiration, Artificial; D013242:Sterilization / Q000379:methods; D014481:United States / Q000453:epidemiology