Clinical manifestation and treatment of botulism in two pregnant women: case report

Abstract

The current paper reports two pregnant patients with botulism were infected during a botulism outbreak. They were a 26‑year‑old Gravida 2 Para 1, 24 weeks and a primigravida 29‑year‑old, 27 weeks women. The first one suffered from ptosis, blurred vision, chewing muscles weakness, dysphagia and urinary incontinence a few days after eating local yogurt. Moreover, the second one was intubated due to dyspnea, dysphonia, muscles weakness and decreased O2 saturation, 20 hours after ingestion of local yogurt. Both of them were treated by trivalent antitoxin every 8 h for 2 days. They were discharged at the 5th and 25th days in well condition, respectively. There was no problem with their pregnancy until they were followed up. In conclusion, in pregnant patients with botulism, treatment should be started as soon as possible and the earlier treatment will reduce the risk of complications.