title: [Intussusception in infant with diagnostic botulism: A case report].
abstract: Botulism is an important public health problem in Argentina. It is a potentially fatal disease, and its diagnosis may be difficult. There are rare presentation forms of the disease, such as acute abdomen. We present a 4-month baby with a 3-day constipation condition, associated with weakness and abnormal eating attitude in the last 12 hours. The baby presented preserved muscle tone, with no changes in sucking or deglutition according to the mother's observations. Altered sensorium and acute abdomen were found; the patient was entered into the operating room with presumptive diagnosis of intussusception, which was confirmed by pneumatic desinvagination. During hospitalization, the patient did not make good progress and presented weak cry, progressive hypotonia and respiratory failure requiring intensive care. Clostridium botulinum was isolated from the stool sample and botulinum toxin type A was isolated from serum. The patient was treated with equine botulinum toxin. Twenty five days after admission, he was totally recovered.
authors: Residencia de Clínica Pediátrica, Hospital General de Niños Pedro de Elizalde.
authors: Roxana G
authors: RG
authors: Spini
authors: Residencia de Clínica Pediátrica, Hospital General de Niños Pedro de Elizalde.
authors: Verónica
authors: V
authors: Ferraris
authors: Residencia de Clínica Pediátrica, Hospital General de Niños Pedro de Elizalde.
authors: María P
authors: MP
authors: Glasman
authors: Residencia de Clínica Pediátrica, Hospital General de Niños Pedro de Elizalde.
authors: Guillermina
authors: G
authors: Orofino
authors: Residencia de Hematoncológica Pediátrica, Hospital General de Niños Pedro de Elizalde.
authors: Alejandra
authors: A
authors: Casanovas
authors: Unidad de Cuidados Intensivos, Hospital General de Niños Pedro de Elizalde.
authors: Gustavo
authors: G
authors: Debaisi
mesh_terms: D001906:Botulism / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007223:Infant; D007443:Intussusception / Q000382:microbiology*; D008297:Male