CBRNE - Botulism Differential Diagnoses

  • Author: Peter P Taillac, MD; Chief Editor: Robert G Darling, MD, FACEP   more...
 
Updated: Mar 23, 2010
 
 

Differential Diagnoses

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Contributor Information and Disclosures
Author

Peter P Taillac, MD  Associate Clinical Professor of Surgery, Division of Emergency Medicine, University of Utah Health Sciences Center

Peter P Taillac, MD is a member of the following medical societies: American College of Emergency Physicians, National Association of EMS Physicians, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Coauthor(s)

Joseph Kim, MD  Chairman, Department of Emergency Medicine, Western Medical Center; Clinical Instructor, University of California, Irvine, School of Medicine

Disclosure: Nothing to disclose.

Specialty Editor Board

Edward Bessman, MD  Chairman, Department of Emergency Medicine, John Hopkins Bayview Medical Center; Assistant Professor, Department of Emergency Medicine, Johns Hopkins University School of Medicine

Edward Bessman, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Barry J Sheridan, DO  Chief Warrior in Transition Services, Brooke Army Medical Center

Barry J Sheridan, DO is a member of the following medical societies: American Academy of Emergency Medicine

Disclosure: Nothing to disclose.

John D Halamka, MD, MS  Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center

John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Chief Editor

Robert G Darling, MD, FACEP  Adjunct Clinical Assistant Professor of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, F Edward Hebert School of Medicine; Associate Director, Center for Disaster and Humanitarian Assistance Medicine

Robert G Darling, MD, FACEP is a member of the following medical societies: American College of Emergency Physicians, American Medical Association, American Telemedicine Association, and Association of Military Surgeons of the US

Disclosure: Nothing to disclose.

References

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  4. Bigalke H, Rummel A. Medical aspects of toxin weapons. Toxicology. Oct 30 2005;214(3):210-20. [Medline].

  5. Centers for Disease Control and Prevention. Botulism associated with commercially canned chili sauce--Texas and Indiana, July 2007. MMWR. Aug 3, 2007;56(30):767-9. [Medline].

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  14. Mcnally RE, Morrison MB, Berndt JE, et al. Effectiveness of medical defense interventions against predicted battlefield levels of botulinum toxin A. Joppa, MD: Science Applications International Corp; 1994.

  15. Park JB, Simpson LL. Progress toward development of an inhalation vaccine against botulinum toxin. Expert Rev Vaccines. 2004;3(4):477-87. [Medline].

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  18. Smith, LA; Rusnak, JM. Botulinum neurotoxin vaccines: past, present, and future. Crit Rev Immunol. 2007;27(4):303-18. [Medline].

  19. Ting PT, Freiman A. The story of Clostridium botulinum: from food poisoning to Botox. Clin Med. May-Jun 2004;4(3):258-61. [Medline].

  20. Underwood K, Rubin S, Deakers T, Neuth C. Infant botulism: a 30-year experience spanning the introduction of botulism immune globulin intravenous in the intensive care unit at Childrens Hospital Los Angeles. Pediatrics. Dec 2007;120(6):e1380-5. [Medline].

  21. Weber JT, Hoeprich PD, et al. Botulism. In: Jordan MC, et al, eds. Infectious Diseases. 5th ed. 1994:1185.

  22. Wenham TN. Botulism: a rare complication of injecting drug use. Emerg Med J. Jan 2008;25(1):55-6. [Medline].

  23. World Health Organization. Outbreak news. Botulism, Thailand. Wkly Epidemiol Rec. Mar 31 2006;81(13):118. [Medline].

 
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Bioterrorist Agents. Signs and symptoms. Chart courtesy of North Carolina Statewide Program for Infection Control and Epidemiology (SPICE), copyright University of North Carolina at Chapel Hill, www.unc.edu/depts/spice/bioterrorism.html.
Courtesy of Arnon SS, et al. Botulinum toxin as a biological weapon: medical and public health management. JAMA 2001 Apr 25;285:1059.
 
 
 
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