Serum positive botulism with neuropathic features.

Abstract

A 32-year-old man presented with multiple cranial neuropathies and his serum was positive for botulism type B. However, serial electrodiagnostic studies were consistent with a primarily neuropathic process, such as Fisher syndrome, rather than a neuromuscular junction disorder. Electrodiagnostic study findings in patients with presumed neuromuscular junction disorders may mimic findings suggestive of a neuropathic process, or the bioassay for botulism may be falsely positive in patients with Fisher Syndrome.

• Authors: V H Chang, L R Robinson
• Journal: Archives of physical medicine and rehabilitation (Arch Phys Med Rehabil) Vol. 81 Issue 1 Pg. 122-6 (Jan 2000) ISSN: 0003-9993 [Print] United States
• PMID: 10638887 (Publication Type: Case Reports, Journal Article, Review)

Chemical References

• Immunoglobulins, Intravenous

Topics

• Adult
• Botulism (blood, diagnosis)
• Diagnosis, Differential
• Electrodiagnosis
• Electromyography
• Humans
• Immunoglobulins, Intravenous (therapeutic use)
• Male
• Miller Fisher Syndrome (diagnosis, therapy)
• Treatment Outcome