Essentials of Diagnosis:-


• Sudden onset of diplopia, dry mouth, dysphagia, dyspnoea, cranial nerve paralysis, muscle weakness progressing to respiratory paralysis.
• History of recent ingestion of home canned or unus- ual foods.
• Toxin demonstrated in the food by mouse innocu- lation and identified with specific antisera.


Treatment:-


-Stomach wash if diagnosed early.
-ABC botulinus anti-toxin.
-Maintenance of oxygenation and ventilation by
good respiratory drainage (elevation of foot end) aspiration or tracheostomy and mechanical respiration if necessary.
-Parenteral fluids.
-Antibiotics if pneumonitis develops.

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