Botulism and cavernous sinus thrombosis induced by Acute rhinosinusitis: A case report

Background: Botulism is an acute and rapidly progressive descending paralytic disease caused by a neurotoxin of clostridium botulinum. Case presentation: A 28-year-old woman presented with severe generalized ascending symmetrical muscle paralysis. The patient was intubated and transferred to the med...

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Main Authors: Ali Tavassoli (Author), Mahmood Sadeghi (Author), Parviz Amrimaleh (Author)
Format: Book
Published: Babol University of Medical Sciences, 2018-01-01T00:00:00Z.
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100 1 0 |a Ali Tavassoli  |e author 
700 1 0 |a Mahmood Sadeghi  |e author 
700 1 0 |a Parviz Amrimaleh  |e author 
245 0 0 |a Botulism and cavernous sinus thrombosis induced by Acute rhinosinusitis: A case report 
260 |b Babol University of Medical Sciences,   |c 2018-01-01T00:00:00Z. 
500 |a 2008-6164 
500 |a 2008-6172 
520 |a Background: Botulism is an acute and rapidly progressive descending paralytic disease caused by a neurotoxin of clostridium botulinum. Case presentation: 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 (15th day) and chest wall (20th day), abdomen (25th day) and the lower extremities (32nd day) were then gradually restored. On 41st day, the patient was completely disconnected from the ventilator. Conclusions: 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 botulinum 
546 |a EN 
690 |a Acute sinusitis 
690 |a  Botulism 
690 |a  Paralysis 
690 |a Internal medicine 
690 |a RC31-1245 
655 7 |a article  |2 local 
786 0 |n Caspian Journal of Internal Medicine, Vol 9, Iss 2, Pp 194-197 (2018) 
787 0 |n http://caspjim.com/browse.php?a_code=A-10-756-1&slc_lang=en&sid=1 
787 0 |n https://doaj.org/toc/2008-6164 
787 0 |n https://doaj.org/toc/2008-6172 
856 4 1 |u https://doaj.org/article/22e63fb4dda84a10980b49b4aaf25c9a  |z Connect to this object online.