Keigo Kihara, Yuta Kajiyama, Yasuyoshi Kimura, Shuhei Okazaki, Naoya Esa, Ryosuke Nobe, Kentaro Shimizu, Kiyoshi Ohno, Daisuke Motooka, Takuhiro Matsumura, Takeshi Shimazu, Shota Nakamura, Yukako Fujinaga, Hideki Mochizuki
We report a case of an 80-year-old woman with botulism from 2020 in Osaka, Japan. The patient complained of dysarthria and dizziness. On the same day, the patient developed respiratory failure, and was intubated and placed on mechanical ventilation. Subsequently, ophthalmoparesis and quadriparesis progressed rapidly. Ten days after onset, the patient failed to respond to any external stimulation. Blood tests showed anemia, and computed tomography revealed undiagnosed cervical cancer. Initially, diagnosis of neuromuscular junction disorder and acute motor neuropathy, including paraneoplastic syndrome, were considered...
August 18, 2023: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy