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Social & Preventive Medicine Communicable Diseases f1dfe1c6

Clinical features of Botulism are all EXCEPT:

A
Diarrhoea
B
Constipation
C
Ocular nerve paralysis
D
Blurring of vision
High-Yield Explanation
(Diarrhoea): Ref: 843-H, (211- Park 20th)BOTULISM - Clostridium botulinum (Incubation period 12-36 hours)Clinical symptoms* Cranial nerve involvement - diplopia, dysarthria, dysphonia or dysphagia weakness is asymmetric and progresses* Dizziness, blurred vision, dry mouth sore throat* Alert and oriented, may be drowsy, agitated and anxious.* Nausea vomiting and abdominal pain* Ptosis, papillary reflexes may be depressed, and fixed or dilated pupils are noted in half the patients* Paralytic ileus, severe constipation and urinary retension are common* Typically they have no feverInfant-Botulism: identification of contaminated honey as one source of spores has led to the recommendation that honey not be fed to children < 12 months of age.

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