Saturday 14 April 2012

A case of infant botulism from honey dipped pacifier

A baby Scotland 16 weeks is treated for botyliasis (intestinal) in a hospital in Edinburgh. Reports say baby got the infant form of intoxication by sucking on a dummy (pacifier) in honey.


The boy is in critical but stable condition.


In the USA, there are about 100 cases reported annually botyliasis. It is the most common form of botulism. Infects children under 12 months of age, with most cases in infants 6 weeks 6 months.


Unlike food borne botulism, when a person ingests prodiamorfwmena toxin in foods, infant ingests the spores of the bacteria in food stuffs such as honey. The spores germinate in the intestine where producing bacteria which in turn reproduce and release toxin.


Bacteria may colonize the infant intestines, because normal gut bacteria that would compete with botulism bacteria are not fully installed.


Honey can contain spores (Clostridium botulinum), infants under 1 year old should be fed not honey.


Symptoms in the infant to start as constipation, weakness, poor suck and loss of head control. This can range from mild illness in sudden infant death. Disease is usually more severe in infants aged less than 2 months.


Some studies suggest that infant botulism can cause an estimated 5 percent of cases of sudden death (SIDS).


Intestinal Botulism occurs rarely in older children and adults.


According to the information botyliasis is quite rare in England with only six reported cases since 1976.

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