title: Asymmetric type F botulism with cranial nerve demyelination.
abstract: We report a case of type F botulism in a patient with bilateral but asymmetric neurologic deficits. Cranial nerve demyelination was found during autopsy. Bilateral, asymmetric clinical signs, although rare, do not rule out botulism. Demyelination of cranial nerves might be underrecognized during autopsy of botulism patients.
authors.affiliation: Division of Infectious Diseases, Middlesex Hospital, 80 S Main St, Middletown, CT 06457, USA. alina.fi lozov@midhosp.org
authors.forename: Alina
authors.initials: A
authors.lastname: Filozov
authors.forename: Jessica A
authors.initials: JA
authors.lastname: Kattan
authors.forename: Lavanya
authors.initials: L
authors.lastname: Jitendranath
authors.forename: C Gregory
authors.initials: CG
authors.lastname: Smith
authors.forename: Carolina
authors.initials: C
authors.lastname: Lúquez
authors.forename: Quyen N
authors.initials: QN
authors.lastname: Phan
authors.forename: Ryan P
authors.initials: RP
authors.lastname: Fagan
mesh_terms: D000368:Aged; D001904:Botulinum Antitoxin / Q000627:therapeutic use*; D001905:Botulinum Toxins / Q000097:blood*; D001906:Botulism / Q000097:blood / Q000473:pathology* / Q000534:rehabilitation / Q000628:therapy; D003391:Cranial Nerves / Q000473:pathology*; D003711:Demyelinating Diseases / Q000473:pathology*; D006801:Humans; D008297:Male
chemical_list: D001904:Botulinum Antitoxin; D001905:Botulinum Toxins; C096321:botulinum toxin type F