Adult Intestinal Toxemia Botulism

Adult intestinal toxemia botulism occurs rarely and sporadically, and it results from the absorption of toxin produced in situ by botulinum toxin-producing Clostridia that colonizes the intestine. Generally, patients have an anatomical or functional bowel abnormality or are using antimicrobials, which may select fastidious Clostridium species from the normal bowel flora (30,35,36). The symptoms may be protracted and relapsed even after treatment with antitoxin because of the ongoing intraluminal production of toxin. Typically, there is no known food or wound source and prolonged excretion of organisms and toxin is present in the stool.

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