Latrogenic botulism due to therapeutic botulinum toxin A injection in a pediatric patient

被引:39
作者
Crowner, Beth E.
Brunstrom, Janice E.
Racette, Brad A.
机构
[1] Washington Univ, Sch Med, Amer Parkinson Dis Assoc Adv Ctr Parkinson Res, Dept Neurol, St Louis, MO 63110 USA
[2] Washington Univ, Sch Med, Program Phys Therapy, St Louis, MO 63130 USA
[3] Washington Univ, Sch Med, Dept Neurol, St Louis, MO 63130 USA
关键词
cerebral palsy; botulinum toxin A; botulism;
D O I
10.1097/WNF.0B013E31804B1A0D
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Botulinum toxin A is commonly used to reduce spasticity and dystonia in children with cerebral palsy. We report a pediatric patient who developed systemic botulism as a result of a severe overdose of the injected toxin (40 U/kg). This case highlights the importance of physicians having adequate knowledge of primate and human literature on the lethal dose, 50% of botulinum toxin A before injecting children.
引用
收藏
页码:310 / 313
页数:4
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