Accordingly, both will continue to receive supportive treatment including mechanical ventilation, nutrition, infection control, and long-term bed rest, and there is no indication for continued use of BAT.
Previously, patient NVĐ (13 years old) was admitted to the hospital on May 14th with the diagnosis Botulinum poisoning from food . I received one vial of BAT on May 15th. Currently, I am responsive to calls and follow medical instructions, respond to painful stimuli, but my muscle strength in all four limbs has not improved; upper limb muscle strength is 2/5, lower limb muscle strength is 2/5.
However, she still has drooping eyelids, cannot breathe on her own, has intestinal paralysis, underwent a tracheostomy on May 24th, and continues to be on low-parameter mechanical ventilation and intravenous nutrition.
Patient NTX (10 years old) was admitted to the hospital on May 14th with a diagnosis of botulinum poisoning from food. She received an intravenous infusion of 1/2 vial of the antidote BAT on May 15th. Her respiratory failure worsened, and she was intubated and transferred to the Intensive Care Unit on May 18th.
Currently, the child is breathing weakly on their own, upper limb muscle strength is 4/5, lower limb muscle strength is 2/5, bowel sounds are present, weaning from the ventilator has failed once, and the child is still on low-parameter mechanical ventilation, receiving nutrition via nasogastric tube...
H. has recovered and is expected to be discharged from the hospital on May 26, 2023.
The remaining patient, NVH (14 years old), is scheduled for discharge tomorrow, May 26th. Previously, she was admitted on May 15th with a diagnosis of botulinum poisoning from food. She received an intravenous infusion of 1/2 vial of BAT on the same day of admission. Currently, her upper limb muscle strength is 5/5, lower limb muscle strength is 5/5, she can walk normally, her drooping eyelids have disappeared, she is breathing ambient air, eating and drinking normally, and her bowel and bladder functions are normal.
All three children are siblings from the same family in Thu Duc City. On May 13th, the three children and their aunt ate Vietnamese pork sausage sandwiches from a street vendor. Approximately 12-18 hours after eating, all four experienced stomach pain, nausea, vomiting, and frequent diarrhea.
Quick view 8:00 p.m. May 25: Measures to prevent botulinum poisoning | The mystery of the longevity village in Hue
Subsequently, symptoms of fatigue and body aches gradually appeared, and three children developed muscle weakness, eventually being admitted to Children's Hospital 2 for treatment. Their aunt, who ate less, only experienced digestive problems and has since recovered.
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