E-ISSN: 2314-7326
P-ISSN: 2314-7334

Journal of Neuroinfectious Diseases
Open Access

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Case Report

An Asymmetric Onset of Neurological Signs Does Not Rule Out the Botulism

Marina Trivisano1, Giuseppe d’Orsi2*, Adele Gianmario1, Marianna Ciarallo1, Maria E. Liuni1, Giovanna D’Addiego2, Anna Lepore3, Teresa Santantonio1and Luigi M. Specchio1
1Clinic of Nervous System Diseases, University of Foggia, Foggia, Italy
2Clinic of Infectious Diseases, University of Foggia, Foggia, Italy
3Poison Control Center, Riuniti Hospital, Foggia, Italy
Corresponding Author : Giuseppe d’Orsi
Department of Neurological Sciences
Clinic of Nervous System, Diseases
University of Foggia, Riuniti Hospital
Via Luigi Pinto 1, 71100 Foggia. Italy
Tel: 0039-0881/736125
E-mail: giudorsi@yahoo.it
Received September 17, 2015; Accepted September 28, 2015; Published September 30, 2015
Citation:Trivisano M, D’Orsi G, Gianmario A, Ciarallo M, Liuni ME, et al. (2015) An Asymmetric Onset of Neurological Signs Does Not Rule Out the Botulism. J Neuroinfect Dis 6:188. doi:10.4172/2314-7326.1000188
Copyright: ©2015 Trivisano M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Related article at Pubmed, Scholar Google

Abstract

Foodborne Botulism is clinically characterized by a symmetric flaccid paralysis of the cranial nerves with a descending involvement of voluntary and breathing muscles leading to respiratory arrest. Asymmetric neurological signs are unusual and in these cases diagnosis could be delayed or frequently missed. We described a 63-year-old man with a clinical picture related to type A botulism characterized by an asymmetric and left lateralized onset of neurological signs associated with a monolateral parotitis. Physicians must be aware that lateralized onset of neurological signs does not rule out the botulism, and it should be considered even in cases of atypical clinical picture.

Top