Botulinum poisoning case: Two patients' condition worsens

SGGP May 27, 2023 08:48

On May 26, Doctor CK2 Do Thi Ngoc Khanh, Deputy Head of the Tropical Diseases Department, Cho Ray Hospital, said that the health of the two male patients (brothers) is currently deteriorating, after 14 days of hospitalization.

The 18-year-old brother was in a serious condition when he was admitted to the hospital, with muscle paralysis and limb strength at 1/5. There has been no improvement or recovery to date. The 26-year-old brother was in a better condition when he was admitted to the hospital, but his muscle paralysis has worsened and gradually increased.

Currently, the patient's limb strength is only 2/5-3/5. The two patients are still being treated in the intensive care unit. Doctors are trying to use active treatment methods to prevent complications and stop the disease from getting worse for the two brothers. However, the prognosis for the two patients is cautious.

Children's Hospital 2 is treating 3 pediatric patients NVĐ. (13 years old), admitted on May 14, was infused with a bottle of BAT on May 15. Currently, he 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, 2 lower limbs 2/5, still drooping eyelids, not breathing on his own, intestinal paralysis, had a tracheostomy on May 24 and continues to be on a low-parameter ventilator, intravenous nutrition.

Patient NVH (14 years old), admitted on May 15, received 1/2 bottle of BAT intravenously on May 15. Currently, muscle strength of both upper limbs is 5/5, muscle strength of both lower limbs is 5/5, he walks normally, droopy eyelids are gone, he breathes fresh air, can eat, drink, and urinate normally, and will be discharged soon.

As for patient NTX (13 years old), admitted on May 14, he received an intravenous infusion of half a bottle of BAT on May 15. His respiratory failure gradually progressed, and he was intubated and transferred to the intensive care unit on May 18. Currently, he is breathing weakly, with muscle strength in both upper limbs 4/5, muscle strength in both lower limbs 2/5, bowel movements, failed to wean him off the ventilator once, and is still on low-parameter ventilator and nutrition via gavage.

Children's Hospital 2 consulted with Cho Ray Hospital on the treatment direction for the two children D. and X. Currently, both will continue to receive supportive treatment (ventilator, nutrition, anti-infection, long-term care) and there is no indication to continue using BAT.

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