Diagnostic errors in botulism

I. Sergeeva, Sh.Kh. Rakhimi
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Abstract

Botulism is a rare but serious condition characterized by long hospitalization and high lethality and therefore is considered an important problem of modern infectiology. Multiple diagnostic errors frequently occur in botulism, though the disease has highly distinctive clinical signs.The authors reviewed 27 patient medical records from 1992–2006: 15 records of the patients hospitalized with different preliminary diagnoses and later established diagnosis "botulism" and 12 records of the patients with initially diagnosed botulism which was not confirmed. The article highlights epidemiological and clinical criteria of botulism. While generating a differential diagnosis, it is necessary to recognize that botulism has different clinical manifestations, and that the disease severity may vary from mild to serious. Preventive measures for botulism play an important role and are aimed at enhancing the public awareness of the storage and consumption of mushroom, fish, and meat cans and products. KEYWORDS: botulism, botulinum toxin, Clostridium botulinum, early diagnosis, differential diagnosis, diagnostic errors. FOR CITATION: Sergeeva I.V., Rakhimi Sh.Kh. Diagnostic errors in botulism. Russian Medical Inquiry. 2022;6(11):667–670 (in Russ.). DOI: 10.32364/2587-6821-2022-6-11-667-670.
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肉毒杆菌中毒的诊断错误
肉毒杆菌中毒是一种罕见但严重的疾病,其特点是长期住院和高致死率,因此被认为是现代感染学的一个重要问题。虽然肉毒杆菌中毒具有非常独特的临床症状,但经常发生多种诊断错误。作者回顾了1992-2006年27例患者的医疗记录,其中15例为初步诊断不同但后来确诊为“肉毒中毒”的住院患者,12例为初步诊断为肉毒中毒但未确诊的住院患者。文章强调了肉毒杆菌中毒的流行病学和临床标准。在进行鉴别诊断时,有必要认识到肉毒杆菌中毒具有不同的临床表现,并且疾病的严重程度可能从轻微到严重不等。预防肉毒杆菌中毒的措施发挥着重要作用,旨在提高公众对蘑菇、鱼和肉罐头及其制品的储存和消费的认识。关键词:肉毒杆菌中毒,肉毒杆菌毒素,肉毒梭菌,早期诊断,鉴别诊断,诊断错误。引文:Sergeeva i.v., Rakhimi Sh.Kh。肉毒杆菌中毒的诊断错误。俄罗斯医学调查。2022;6(11):667-670(俄文)。DOI: 10.32364 / 2587-6821-2022-6-11-667-670。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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