التسمم الوشيقي والأسباب والأعراض وعلاج التكلفة الجراحية في الهند

تعريف

Botulism is a potentially deadly illness that is caused by a toxin produced by a bacterium called Clostridium botulinum.

أسباب

The bacterium are found in the soil and at the bottom of lakes, streams, and oceans. The intestinal tracts of fish, mammals, crabs, and other shellfish may contain C botulinum and its spores. The bacterium’s spores can survive in improperly prepared foods. A very small amount of the botulism toxin can cause illness. People come in contact with this toxin in one of three ways:

• Food can be contaminated with the bacteria and its toxin. It is the toxin produced by C botulinum —not C botulinum itself—that causes botulism in humans. Food that may be contaminated with the toxin include:
  • Home-canned goods
  • Sausage
  • Meat products
  • Seafood
  • Canned vegetables
  • Honey
• If an infant swallows C botulinum spores, they will grow in the baby’s body and produce the toxin. Unlike adults and older children, infants become sick from toxin produced by bacteria growing in their own intestines. Honey is a prime source of infant botulism. Other sources include soil and dust.
• A wound can become infected with the bacteria (rare in the US). The toxin then travels to other parts of the body through the bloodstream.

In some cases, the source of the bacteria is unknown. Botulism toxin is also a potential bioterrorism agent.

عوامل الخطر

Factors that increase your chance of getting botulism include:

• Eating improperly cooked or canned foods
• For infants, consuming honey
• Using IV drugs (rare)

الأعراض

Symptoms begin in the face and eyes, and progress down both sides of the body. If left untreated, muscles in the arms, legs, and torso, as well as those used in breathing become paralyzed. Death can occur.

Symptoms can range from mild to severe and include:

In adults:

• ضعف العضلات
• الدوخة
• Double or blurred vision
• Droopy eyelids
• Trouble swallowing
• فم جاف
• إلتهاب الحلق
• كلام غير واضح
• صعوبة في التنفس
• إمساك

In babies:

• إمساك
• Not eating or sucking
• Little energy
• توتر عضلي ضعيف
• Weak cry

When food is the cause of botulism, symptoms usually start within 36 hours of eating the contaminated food. Some people notice symptoms within a few hours. Others may not develop symptoms for several days. Some people experience nausea, vomiting, and diarrhea.

When a wound is the cause of botulism, symptoms start within 4-14 days.

التشخيص

The doctor will ask about your symptoms and medical history. A physical exam will be done. Blood, stool, and stomach contents will be tested for the toxin. In infants, stool will also be tested for C botulinum. If available, samples of questionable food may also be tested for the toxin and bacteria. A wound culture will be done if wound botulism is suspected.

• قد يحتاج طبيبك إلى اختبار سوائل الجسم. يمكن القيام بذلك باستخدام:
  • تحاليل الدم
  • Spinal fluid analysis
• Your doctor may need pictures of the inside of your brain. This can be done with an MRI scan.
• Your doctor may need to evaluate the nerves in your body. This can be done withnerve conduction tests.

العلاج