Case 48-1980: Botulism

Woodruff J. English; Leslie Paul Williams; Richard E. Bryant; Michael D. Gillies; Robert W. Graebner; J. Glenn Morris; Roger A. Feldman; V. R. Dowell

doi:10.1056/NEJM198103263041318

Case 48-1980: Botulism

Woodruff J. English, Leslie Paul Williams, Richard E. Bryant, Michael D. Gillies, Robert W. Graebner, J. Glenn Morris, Roger A. Feldman, V. R. Dowell

Infectious Diseases

Research output: Contribution to journal › Letter › peer-review

3 Scopus citations

Abstract

To the Editor: In the Case Records of the December 4 issue, Dr. Newton E. Hyslop, Jr., remarked that the “unclassified” form of botulism in the adult may have the same pathophysiologic mechanism as infant botulism. Although confirmatory evidence is lacking, we suggest that some cases of “unclassified” botulism may result from endogenous toxin production due to predisposing factors in the host, e.g., disruption of the integrity of the intestine and an alteration in the balance of intestinal microflora. We have identified Type A botulism in a 33-year-old woman who had undergone ileojejunal bypass. An end-to-end ileojejunal anastomosis (10.2 cm.

Original language	English (US)
Pages (from-to)	789-791
Number of pages	3
Journal	New England Journal of Medicine
Volume	304
Issue number	13
DOIs	https://doi.org/10.1056/NEJM198103263041318
State	Published - Mar 26 1981

ASJC Scopus subject areas

General Medicine

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title = "Case 48-1980: Botulism",

abstract = "To the Editor: In the Case Records of the December 4 issue, Dr. Newton E. Hyslop, Jr., remarked that the “unclassified” form of botulism in the adult may have the same pathophysiologic mechanism as infant botulism. Although confirmatory evidence is lacking, we suggest that some cases of “unclassified” botulism may result from endogenous toxin production due to predisposing factors in the host, e.g., disruption of the integrity of the intestine and an alteration in the balance of intestinal microflora. We have identified Type A botulism in a 33-year-old woman who had undergone ileojejunal bypass. An end-to-end ileojejunal anastomosis (10.2 cm.",

author = "English, {Woodruff J.} and Williams, {Leslie Paul} and Bryant, {Richard E.} and Gillies, {Michael D.} and Graebner, {Robert W.} and Morris, {J. Glenn} and Feldman, {Roger A.} and Dowell, {V. R.}",

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T1 - Case 48-1980

T2 - Botulism

AU - English, Woodruff J.

AU - Williams, Leslie Paul

AU - Bryant, Richard E.

AU - Gillies, Michael D.

AU - Graebner, Robert W.

AU - Morris, J. Glenn

AU - Feldman, Roger A.

AU - Dowell, V. R.

PY - 1981/3/26

Y1 - 1981/3/26

N2 - To the Editor: In the Case Records of the December 4 issue, Dr. Newton E. Hyslop, Jr., remarked that the “unclassified” form of botulism in the adult may have the same pathophysiologic mechanism as infant botulism. Although confirmatory evidence is lacking, we suggest that some cases of “unclassified” botulism may result from endogenous toxin production due to predisposing factors in the host, e.g., disruption of the integrity of the intestine and an alteration in the balance of intestinal microflora. We have identified Type A botulism in a 33-year-old woman who had undergone ileojejunal bypass. An end-to-end ileojejunal anastomosis (10.2 cm.

AB - To the Editor: In the Case Records of the December 4 issue, Dr. Newton E. Hyslop, Jr., remarked that the “unclassified” form of botulism in the adult may have the same pathophysiologic mechanism as infant botulism. Although confirmatory evidence is lacking, we suggest that some cases of “unclassified” botulism may result from endogenous toxin production due to predisposing factors in the host, e.g., disruption of the integrity of the intestine and an alteration in the balance of intestinal microflora. We have identified Type A botulism in a 33-year-old woman who had undergone ileojejunal bypass. An end-to-end ileojejunal anastomosis (10.2 cm.

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Case 48-1980: Botulism

Abstract

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