Botulism in Adults and Children

What are the treatments for the condition?

Early diagnosis and treatment of botulism is important. It is important to remove any remaining contaminated food from the digestive system. The healthcare provider may order enemas, or induce vomiting.

Foodborne and wound botulism can be treated with an antitoxin. This medicatiion blocks the action of toxin in the blood. Antitoxin doesn't undo the damage already done, but it can slow or prevent further damage. Intravenous fluids can be given if a person can't swallow. A ventilator, or artificial breathing machine, is often used to treat breathing difficulties.

Antibiotics should only be used to treat secondary infections. Use of antibiotics kill botulism spores in the intestine. This can result in the absorption of even more toxin.

What are the side effects of the treatments?

Many people experience allergic reactions to the antitoxin derived from horse serum. There is a human-derived antitoxin that does not cause as many reactions.

What happens after treatment for the condition?

With proper treatment, the body is often able to repair the damage over a period of several months. An individual may have fatigue and shortness of breath for several more years.

How is the condition monitored?

Botulism is monitored with periodic visits to the healthcare provider. Any new or worsening symptoms should be reported to the healthcare provider.