Accordingly, both will continue to receive supportive treatment including mechanical ventilation, nutrition, anti-infection, long-term care, and there is no indication to continue using BAT.
Previously, patient NVĐ (13 years old) was hospitalized on May 14 with a diagnosis of botulinum poisoning from food . I was given 1 vial of BAT on May 15. Currently, I can call, follow orders, respond to pain stimuli, muscle strength in all four limbs has not improved, muscle strength in both upper limbs 2/5, and in both lower limbs 2/5.
However, the child still had drooping eyelids, could not breathe on his own, had intestinal paralysis, had a tracheostomy on May 24 and continued to be on a low-parameter ventilator and intravenous nutrition.
Patient NTX (10 years old) was admitted to the hospital on May 14 with a diagnosis of botulinum poisoning from food. He was given half a bottle of BAT antidote intravenously on May 15. He had progressive respiratory failure, was intubated, and transferred to the Intensive Care Unit on May 18.
Currently, the child is breathing weakly, upper limb muscle strength is 4/5, lower limb muscle strength is 2/5, has intestinal peristalsis, failed to wean off the ventilator once, still on low ventilator parameters, nutrition through a tube into the stomach...
H. recovered and is expected to be discharged on May 26, 2023.
The remaining patient, NVH (14 years old), is expected to be discharged tomorrow, May 26. Previously, he was admitted to the hospital on May 15 and diagnosed with botulism poisoning from food. He was given half a bottle of BAT intravenously on the day of admission. Currently, the muscle strength of the upper limbs is 5/5, the muscle strength of the lower limbs is 5/5, he walks normally, his eyelids are no longer droopy, he can breathe fresh air, eat, drink, and urinate normally.
The three of them are siblings in the same family in Thu Duc City. On May 13, the three of them and their aunt ate banh mi cha lua from a street vendor. After eating for about 12-18 hours, all four of them had stomachaches, nausea, vomiting, and diarrhea many times.
Quick view 8:00 p.m. May 25: Measures to prevent botulinum poisoning | The mystery of the longevity village in Hue
Then, gradually symptoms of fatigue and body aches appeared and the 3 children gradually developed muscle weakness and were admitted to Children's Hospital 2 for treatment. The aunt ate less so only had symptoms of digestive disorders, and has now recovered.
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