{"id":168,"date":"2010-10-27T15:56:30","date_gmt":"2010-10-27T15:56:30","guid":{"rendered":"https:\/\/blogs.bmj.com\/case-reports\/?p=168"},"modified":"2010-10-27T16:04:49","modified_gmt":"2010-10-27T16:04:49","slug":"the-hazards-of-honey-infantile-botulism","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/case-reports\/2010\/10\/27\/the-hazards-of-honey-infantile-botulism\/","title":{"rendered":"The hazards of honey: infantile botulism"},"content":{"rendered":"<p>Smith and colleagues present a fine piece of detective work around a 2 month old infant with an initially puzzling neurological presentation. They unearth valuable learning points:<\/p>\n<ul>\n<li>Young infants are particularly vulnerable due to the susceptibility of their gut to colonisation due to immature intestinal flora and lack of clostridium-inhibiting bile acids. This is in contrast to botulism in adults, which follows the ingestion of preformed toxin.<\/li>\n<li>Symptoms present insidiously and are classically described as constipation, cranial nerve palsies and progressive generalised weakness.<\/li>\n<li>Stool samples for clostridium botulinum PCR confirm the diagnosis easily and should be sent early as a basic investigation<\/li>\n<li>Food sourcing is possible and in this case eliciting the honey-soother history proved invaluable. Such questions ought to be part of routine questioning of carers in such cases<\/li>\n<li>Labelling of honey has been a requirement since 1996 in the UK but clearly this is not always enough to prevent administration of honey to infants under the age of one year.<\/li>\n<\/ul>\n<p><em>Rakesh Biswas<br \/>\nDeputy Editor<\/em><\/p>\n<p><a href=\"http:\/\/casereports.bmj.com\/content\/2010\/bcr.05.2010.3038.full\">The hazards of honey: infantile botulism<\/a><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Smith and colleagues present a fine piece of detective work around a 2 month old infant with an initially puzzling neurological presentation. They unearth valuable learning points: Young infants are particularly vulnerable due to the susceptibility of their gut to colonisation due to immature intestinal flora and lack of clostridium-inhibiting bile acids. This is in [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/case-reports\/2010\/10\/27\/the-hazards-of-honey-infantile-botulism\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":142,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[203],"tags":[],"class_list":["post-168","post","type-post","status-publish","format-standard","hentry","category-editors-choice"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The hazards of honey: infantile botulism - BMJ Case Reports blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/case-reports\/2010\/10\/27\/the-hazards-of-honey-infantile-botulism\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The hazards of honey: infantile botulism - BMJ Case Reports blog\" \/>\n<meta property=\"og:description\" content=\"Smith and colleagues present a fine piece of detective work around a 2 month old infant with an initially puzzling neurological presentation. They unearth valuable learning points: Young infants are particularly vulnerable due to the susceptibility of their gut to colonisation due to immature intestinal flora and lack of clostridium-inhibiting bile acids. 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