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Infant Botulism: Checklist for Timely Clinical Diagnosis and New Possible Risk Factors Originated from a Case Report and Literature Review

Infant botulism is a rare and underdiagnosed disease caused by BoNT-producing clostridia that can temporarily colonize the intestinal lumen of infants less than one year of age. The diagnosis may be challenging because of its rareness, especially in patients showing atypical presentations or concomi...

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Detalles Bibliográficos
Autores principales: Dilena, Robertino, Pozzato, Mattia, Baselli, Lucia, Chidini, Giovanna, Barbieri, Sergio, Scalfaro, Concetta, Finazzi, Guido, Lonati, Davide, Locatelli, Carlo Alessandro, Cappellari, Alberto, Anniballi, Fabrizio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8703831/
https://www.ncbi.nlm.nih.gov/pubmed/34941698
http://dx.doi.org/10.3390/toxins13120860
Descripción
Sumario:Infant botulism is a rare and underdiagnosed disease caused by BoNT-producing clostridia that can temporarily colonize the intestinal lumen of infants less than one year of age. The diagnosis may be challenging because of its rareness, especially in patients showing atypical presentations or concomitant coinfections. In this paper, we report the first infant botulism case associated with Cytomegalovirus coinfection and transient hypogammaglobulinemia and discuss the meaning of these associations in terms of risk factors. Intending to help physicians perform the diagnosis, we also propose a practical clinical and diagnostic criteria checklist based on the revision of the literature.