title: Dry mouth as an initial sign of food-borne botulism: a case report and review of the literature.
abstract: Botulism is a rare neuroparalytic disease caused by a potent neurotoxin produced by Clostridium botulinum. There are different clinical types of botulism. Early diagnosis of the condition is essential for effective treatment. We report a case of food-borne botulism in identical twins characterized by severe initial oral involvement and a review of the literature about the condition.
authors.affiliation: Oral Medicine, Pathology, Laser-Assisted Surgery and Dentistry Unit, University of Parma, Parma, Italy. maddalena.manfredi@unipr.it
authors.forename: Maddalena
authors.initials: M
authors.lastname: Manfredi
authors.forename: Umberto
authors.initials: U
authors.lastname: Scoditti
authors.forename: Monica
authors.initials: M
authors.lastname: Angelini
authors.forename: Piero
authors.initials: P
authors.lastname: de Giampaulis
authors.forename: Bianca Maria
authors.initials: BM
authors.lastname: Borrini
authors.forename: Guido Maria
authors.initials: GM
authors.lastname: Macaluso
authors.forename: Giovanni
authors.initials: G
authors.lastname: Pavesi
authors.forename: Paolo
authors.initials: P
authors.lastname: Vescovi
mesh_terms: D000328:Adult; D001906:Botulism / Q000209:etiology / Q000473:pathology*; D003680:Deglutition Disorders / Q000209:etiology; D003937:Diagnosis, Differential; D004200:Diseases in Twins / Q000209:etiology; D015817:Eye Infections / Q000473:pathology; D057141:Food, Preserved / Q000506:poisoning*; D006801:Humans; D008297:Male; D009059:Mouth Diseases / Q000209:etiology / Q000473:pathology*; D009061:Mouth Mucosa / Q000473:pathology; D014675:Vegetables / Q000506:poisoning; D014987:Xerostomia / Q000209:etiology* / Q000473:pathology