Infant botulism in Costa Rica: first report from Central America

  • Marcela Hernandez-de Mezerville Hospital Nacional de Niños de Costa Rica Dr. Carlos Sáenz Herrera, San José, Costa Rica
  • Mariela Rojas-Solano Hospital Nacional de Niños de Costa Rica Dr. Carlos Sáenz Herrera, San José, Costa Rica
  • Alfonso Gutierrez-Mata Hospital Nacional de Niños de Costa Rica Dr. Carlos Sáenz Herrera, San José, Costa Rica
  • Laura Hernandez-Con Hospital Nacional de Niños de Costa Rica Dr. Carlos Sáenz Herrera, San José, Costa Rica
  • Rolando Ulloa-Gutierrez Hospital Nacional de Niños de Costa Rica Dr. Carlos Sáenz Herrera, San José, Costa Rica
Keywords: infant botulism, Clostridium botulinum, epidemiology, Costa Rica, Central America, Latin America

Abstract

Introduction: Clostridium botulinum is known to cause descending paralysis in infants throughout the world.

Methodology: The subject of this study was a three-month-old Costa Rican boy who was hospitalized because of poor suction and feeding, hypotonia, and constipation. Clinical history and physical examination findings suggested infant botulism. Samples were sent to the Winnipeg Public Health Laboratory, where Clostridium botulinum toxin A was identified by PCR and culture from the stools, making this the first report of infant botulism in Central America.

Conclusions: Although infant botulism is a known disease, the limitations in identifying it in Central America contributes to the misdiagnosis and under-reporting of this disease.

Author Biographies

Marcela Hernandez-de Mezerville, Hospital Nacional de Niños de Costa Rica Dr. Carlos Sáenz Herrera, San José, Costa Rica

Pediatric Infectious Diseases, MD.

Hospital Epidemiology Unit, Coordinator

Pediatric Infectious Diseases Staff

Mariela Rojas-Solano, Hospital Nacional de Niños de Costa Rica Dr. Carlos Sáenz Herrera, San José, Costa Rica
Hospital Epidemiology Nurse
Alfonso Gutierrez-Mata, Hospital Nacional de Niños de Costa Rica Dr. Carlos Sáenz Herrera, San José, Costa Rica

Pediatric Neurology Staff.

 

 

 

Laura Hernandez-Con, Hospital Nacional de Niños de Costa Rica Dr. Carlos Sáenz Herrera, San José, Costa Rica
Pediatric Neurology Staff
Rolando Ulloa-Gutierrez, Hospital Nacional de Niños de Costa Rica Dr. Carlos Sáenz Herrera, San José, Costa Rica
Pediatric Infectious Diseases
Published
2014-01-15
How to Cite
1.
Hernandez-de Mezerville M, Rojas-Solano M, Gutierrez-Mata A, Hernandez-Con L, Ulloa-Gutierrez R (2014) Infant botulism in Costa Rica: first report from Central America. J Infect Dev Ctries 8:123-125. doi: 10.3855/jidc.3594
Section
Case Reports