title: Rare presentation of botulism with generalized fasciculations.
abstract: Botulism is a dreadful, life-threatening, neuroparalytic disease caused by gram positive bacteria Clostridium botulinum. Food borne botulism has been described following ingestion of preformed toxins in canned food or food products that have not been preserved properly. Botulinum toxin acts on neuromuscular junction and manifests as ophthalmoplegia, bulbar and limb weakness, and autonomic features along with respiratory compromise. The literature and case reports regarding neuroparalytic botulism in India are sparse. Generalized fasciculations have been rarely reported in literature as manifestation of food borne botulism. We present a 35-year-male presenting with usual features described, but with prominent generalized fasciculations which are rare, and which rapidly responded to treatment.
authors.affiliation: Department of Neurology, Sawai ManSingh Medical College and Hospital, Jaipur, Rajasthan, India.
authors.forename: Amit
authors.initials: A
authors.lastname: Arora
authors.affiliation: Department of Neurology, Sawai ManSingh Medical College and Hospital, Jaipur, Rajasthan, India.
authors.forename: Chandra Mohan
authors.initials: CM
authors.lastname: Sharma
authors.affiliation: Department of Neurology, Sawai ManSingh Medical College and Hospital, Jaipur, Rajasthan, India.
authors.forename: Bl
authors.initials: B
authors.lastname: Kumawat
authors.affiliation: Department of Neurology, Sawai ManSingh Medical College and Hospital, Jaipur, Rajasthan, India.
authors.forename: Dinesh
authors.initials: D
authors.lastname: Khandelwal
keywords: Botulism; fasciculations; food borne; neuromuscular; quadriparesis