Infant botulism

• A
• B
• C
• D
• E
• F
• G
• H
• I
• J
• K
• L
• M
• N
• O
• P
• Q
• R
• S
• T
• U
• V
• W
• X
• Y
• Z

Infant intestines

Botulism immune globulin (BIG) is the main treatment for this condition. Infants that receive this treatment have shorter hospital stays (3 weeks instead of 5 weeks) and less severe illness. The infants must receive supportive care during their recovery. This includes keeping the airway clear, watching for breathing problems, and making sure the child gets the proper nutrition. If breathing problems develop, respiratory support, including the use of a breathing machine, may be needed.

Antibiotics do not appear to increase the rate of improvement. Antibiotics are not needed unless a secondary infection such as pneumonia develops.

The use of human-derived botulinum antitoxin may also be of benefit.

Full recovery is expected with early recognition and supportive treatment. Death or permanent disability may result in complicated cases.

Respiratory insufficiency can develop, requiring assistance with breathing (mechanical ventilation).

Since infant botulism can be life-threatening, go to the emergency room or call the local emergency number (such as 911) immediately if your infant has one or more of the symptoms of botulism.

Review Date: 08/18/2006
Reviewed By: Benjamin W. Van Voorhees, MD, MPH, Assistant Professor of Medicine and Pediatrics, The University of Chicago, Chicago, IL. Review provided by VeriMed Healthcare Network.