Electrodiagnosis reliability in the diagnosis of infant botulism.

Graf, W D; Hays, R M; Astley, S J; Mendelman, P M · J Pediatr · 1992

case_report · Level V

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Abstract

Infant botulism is confirmed by isolation of Clostridium botulinum from stool culture or by toxin assay. Although electrodiagnosis has been described as a diagnostic tool in infant botulism, our 11-year review of toxin-confirmed cases suggests that electrodiagnosis is not a reliable tool. In the case report presented, results of electrodiagnosis were negative but enema effluent contained adequate concentrations of organism and toxin to confirm the diagnosis.

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