Caspian Journal of Internal Medicine
1
Caspian J Intern Med
Medical Sciences
http://caspjim.com
1
admin
2008-6164
2008-6172
8
10.22088/cjim
14
8888
13
en
jalali
1396
10
1
gregorian
2018
1
1
9
2
online
1
fulltext
en
Botulism and cavernous sinus thrombosis induced by Acute rhinosinusitis: A case report
Infectious Diseases
Infectious Diseases
case report
case report
<p style="margin-left:4.5pt;"><span style="font-size:14px;"><span style="font-family:times new roman;"><span style="color:#0000FF;"><strong><em>Background:</em></strong></span> Botulism is an acute and rapidly progressive descending paralytic disease caused by a neurotoxin of clostridium botulinum.<br>
<span style="color:#0000FF;"><strong><em>Case presentation:</em></strong></span> A 28-year-old woman presented with severe generalized ascending symmetrical muscle paralysis. The patient was intubated and transferred to the medical intensive care unit with several symptoms including: severe headache, dysphagia, dyspnea, ptosis, diplopia, and dry mouth. Despite being alert, pupils were bilaterally midriatic and had absent corneal reflux. Pansinusitis was seen in the paranasal sinus scan. At first, the movement of eyelids, head and neck were restored. The movement of the upper limbs (15<sup>th</sup> day) and chest wall (20<sup>th</sup> day), abdomen (25<sup>th</sup> day) and the lower extremities (32<sup>nd</sup> day) were then gradually restored. On 41st day, the patient was completely disconnected from the ventilator.<br>
<span style="color:#0000FF;"><strong><em>Conclusions:</em> </strong></span>Botulism should be a diagnosis in any patient with an acute progressive symmetrical descending paralysis. Sinus mucosal injury (acute sinusitis) can be inoculated with spores of <em>botulinum</em></span></span></p>
Acute sinusitis, Botulism, Paralysis
194
197
http://caspjim.com/browse.php?a_code=A-10-756-1&slc_lang=en&sid=1
Ali
Tavassoli
rohanresearch88@gmail.com
100319475328460012081
100319475328460012081
No
Clinical Research Development Unit of Babol University of Ayatollah Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran
Mahmood
Sadeghi
drm_sadeghihz@yahoo.com
100319475328460012082
100319475328460012082
No
Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
Parviz
Amrimaleh
pamrimaleh@gmail.com
100319475328460012083
100319475328460012083
Yes
Cancer Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran