Title |
A childhood-onset intestinal toxemia botulism during chemotherapy for relapsed acute leukemia
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Published in |
Annals of Clinical Microbiology and Antimicrobials, September 2017
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DOI | 10.1186/s12941-017-0240-y |
Pubmed ID | |
Authors |
Noriko Ohyama, Michiko Torio, Kentaro Nakashima, Yuuki Koga, Shunsuke Kanno, Hisanori Nishio, Kei Nishiyama, Momoko Sasazuki, Haru Kato, Hiroshi Asakura, Satoshi Akamine, Masafumi Sanefuji, Yoshito Ishizaki, Yasunari Sakai, Shouichi Ohga |
Abstract |
Botulism is a potentially fatal infection characterized by progressive muscle weakness, bulbar paralysis, constipation and other autonomic dysfunctions. A recent report suggested that cancer chemotherapy might increase the risk for the intestinal toxemia botulism in both adults and children. We report a 5-year-old boy, who developed general muscle weakness, constipation, ptosis and mydriasis during the third induction therapy for relapsed acute myeloid leukemia. He had recent histories of multiple antibiotic therapy for bacteremia and intake of well water at home. Repeated bacterial cultures identified Clostridium botulinum producing botulinum neurotoxin A. Botulinum toxin A was isolated from his stools at 17, 21, and 23 days after the onset. Symptoms were self-limiting, and were fully recovered without anti-botulinum toxin globulin therapy. This is the second report of a pediatric case with cancer chemotherapy-associated intestinal toxemia botulism. Our case provides further evidence that the immunocompromised status due to anti-cancer treatments increases the risk for the development of botulism at all ages in childhood. |
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Geographical breakdown
Country | Count | As % |
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Venezuela, Bolivarian Republic of | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Scientists | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 23 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Lecturer | 2 | 9% |
Professor > Associate Professor | 2 | 9% |
Student > Master | 2 | 9% |
Student > Doctoral Student | 2 | 9% |
Student > Bachelor | 1 | 4% |
Other | 6 | 26% |
Unknown | 8 | 35% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 5 | 22% |
Nursing and Health Professions | 3 | 13% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 4% |
Engineering | 1 | 4% |
Unknown | 13 | 57% |