Botulism

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Bacteria

Emergency hospitalization is recommended in cases of respiratory trouble. The goal of treatment is to establish a clear airway, aid breathing, give botulinus anti-toxin, and provide supportive therapy.

If breathing difficulty develops, intubation (a tube inserted through the nose or mouth into the trachea to provide an airway for oxygen) and mechanical ventilation are given. Intravenous fluids can be given when the patient has swallowing difficulties. A feeding tube may be inserted in the nose.

Cases of botulism are reported to state health authorities or the CDC (Centers for Disease Control and Prevention) by health care providers so that contaminated food can be removed from stores. Antibiotics are often given, but have not been shown to always be beneficial.

Prompt treatment significantly reduces the risk of death.

• Aspiration pneumonia (caused by inhaling material) and infection
• Respiratory distress
• Long-lasting weakness
• Nervous system problems for up to 1 year

Go to the emergency room or call the local emergency number (such as 911) if you suspect botulism food poisoning.

Review Date: 11/07/2005
Reviewed By: Cyrus Badshah, M.D., Ph.D., Assistant Professor of Clinical Medicine, College of Physicians and Surgeons, Columbia University; Assistant Attending Physician, Department of Medicine, Division of Infectious Diseases & Medical Director, Chest (TB) Clinic and Directly Observed Therapy Program, Harlem Hospital Center. Review provided by VeriMed Healthcare Network.