Botulismo simultáneo en dos hermanos cocainómanos / Simultaneous botulism in two brothers addicted to cocaine
Arch. Soc. Esp. Oftalmol
; 82(9): 583-586, sept. 2007. ilus
Article
in Es
| IBECS
| ID: ibc-055925
Responsible library:
ES1.1
Localization: ES1.1 - BNCS
RESUMEN
Introducción:
El botulismo es poco frecuente en la actualidad. La toxina botulínica produce una parálisis muscular progresiva que puede producir la muerte del paciente por parada de los músculos respiratorios. Caso clínico Dos pacientes hermanos, adictos a la cocaína, acudieron al Servicio de Urgencias por disminución de la agudeza visual cercana, con midriasis bilateral. A los dos días presentaban, además, ptosis palpebral, disfunción asimétrica de la motilidad ocular extrínseca, y vómito.Discusión:
Ante la presencia de una parálisis de la acomodación con una midriasis bilateral que responde a pilocarpina, se debe considerar el botulismo como una posible etiologíaABSTRACT
Introduction:
Botulism is currently an uncommon disease in which the botulinum toxin causes a progressive muscular paralysis that can lead to the death due to a failure of respiratory muscles. Clinical case Two brothers, both addicted to cocaine, came to the casualty department because of a decrease of near visual acuity and bilateral mydriasis. Two days later, they developed eyelid ptosis, asymmetric dysfunction of the extraocular muscles and vomiting.Discussion:
The presence of a paralysis of accommodation, with bilateral mydriasis that reacts to pilocarpine, makes it necessary to consider botulism as a possible cause
Full text:
Available
Collection:
National databases
/
Spain
Health context:
SDG3 - Health and Well-Being
/
Neglected Diseases
Health problem:
Target 3.3: End transmission of communicable diseases
/
Target 3.5: Prevention and treatment of consumption of psychoactive substances
/
Neglected Diseases
/
Zoonoses
Database:
IBECS
Main subject:
Botulism
/
Mydriasis
/
Clostridium botulinum
Type of study:
Diagnostic study
Limits:
Adult
/
Humans
/
Male
Language:
Spanish
Journal:
Arch. Soc. Esp. Oftalmol
Year:
2007
Document type:
Article
Institution/Affiliation country:
Hospital Universitario San Juan de Alicante/España