Аннотация
Заключение
Four members of a single family were hospitalized in
the Central District Hospital of B. Gafurov District on
December 9, 2023, because they had weakness in the
limbs, nausea and vomiting, and visual impairments
after consuming home-canned products. Three patients
were transferred in seri-ous condition to the infectious
diseases department, and a pregnant woman and a
patient were transferred to the ICU of the same hospital.
All patients were treated with botulinum antitoxin as
outlined in the protocol.
The mother-in-law of the pregnant woman died after
four days of being hospitalized, and the hus-band and
son were treated and released.
This article presents a clinical case of botulism in a
32-week pregnant woman who initially devel-oped
neurological symptoms, followed by progressive
respiratory dysfunction. Botulinum antitoxin was
administered during pregnancy.
An emergency cesarean section was performed
because of vital distressing signs and symptoms. An
infant boy was born alive prematurely with a birth
weight of 1750 grams, a length of 42 cm, and 5-minute
Apgar scores of 5 and 7. The baby was managed by
a neonatal intensive care team from the maternity
department.
A heavily pregnant mother was managed over three
weeks with consultation of infectious disease and
obstetric-gynecological consultants.
Ключевые слова
botulism
pregnancy
botulinum toxin
antitoxin
food poisoning.
Полный текст
Скачать статью в PDF
Полная версия статьи в формате PDF
Список литературы
- Heilmann A, Lacy A, Koyfman A, Long B. High risk and low prevalence diseases: Botulism. The American journal of emergency medicine. 2024. Vol. 82. pp. 174–182. DOI: 10.1016/j.ajem.2024.06.018.
- Golubovskaya O.A., Shostakoviya-Koreckaya L.R., Dubossarskaya Z.M. et al. Botulizm u beremennyh: klinicheskie osobennosti i taktika vedeniya [Botulism in pregnant women: clinical features and management tactics] // Klinicheskaya infektologiya i parazitologiya. 2020. Vol. 9, No. 1. pp. 89–99.
- Sobel J., Rao A.K. Making the Best of the Evidence: Toward National Clinical Guidelines for Botulism // Clinical Infectious Diseases. 2018. Vol. 66, Issue Suppl. 1. pp. 1–3. DOI: 10.1093/cid/cix829.