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Spädbarnsbotulism – skäl att inte ge honung till barn under ett år
Engelsk titel: Infant botulism – why honey should be avoided for children up to one year Läs online Författare: Wikström, Sverre ; Holst, Elisabet Språk: Swe Antal referenser: 9 Dokumenttyp: Fallbeskrivning UI-nummer: 17090060

Tidskrift

Läkartidningen 2017;114(30-32)1250-1 ISSN 0023-7205 E-ISSN 1652-7518 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Infant botulism means that Clostridium botulinum colonize and produce toxin in the infant gut, usually during the first year of life. Illness severity varies widely and the incidence may be under-estimated. Infant botulism should be considered in cases of acute muscle weakness or floppiness in infants, especially when accompanied by constipation or feeding difficulties. Respiratory failure and need for mechanical ventilation is common, but full recovery is gradually obtained. Diagnosis is based on stool culture and toxin detection in stool. Botulinum spores are frequently present in honey, which should consequently be avoided for infants.