Infant botulism mimicking Hirschprung's disease

Abstract We report a case of infant botulism presenting as primary colonic ileus—mimicking Hirschprung's megacolon. Infant botulism should be considered in any infant with constipation and neurologic abnormalities.

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Bibliographic Details
Published in:Journal of pediatric surgery 2009-10, Vol.44 (10), p.e5-e7
Main Authors: O'Reilly, Eamon B, Montenegro, Brian, Arnold, John, Tomita, Sandra
Format: Article
Language:English
Subjects:
Botulism - diagnosis
Botulism - drug therapy
Clostridium botulinum
Colonic ileus
Constipation - diagnosis
Constipation - diagnostic imaging
Diagnosis, Differential
Diagnostic Errors
Hirschsprung Disease - diagnosis
Hirschsprung Disease - diagnostic imaging
Hirschsprung's disease
Humans
Immunoglobulins - therapeutic use
Infant
Infant botulism
Intestinal Pseudo-Obstruction - diagnosis
Intestinal Pseudo-Obstruction - diagnostic imaging
Male
Megacolon
Megacolon - diagnosis
Megacolon - diagnostic imaging
Pediatrics
Radiography, Abdominal
Surgery
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Description
Summary:Abstract We report a case of infant botulism presenting as primary colonic ileus—mimicking Hirschprung's megacolon. Infant botulism should be considered in any infant with constipation and neurologic abnormalities.
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2009.06.024