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Infant Botulism - Botulism in Infants


Treatment & Monitoring

What are the treatments for the infection?

Treatment of infant botulism includes:

  • hospitalization
  • supportive measures, such as bed rest, fluids given through a vein, comforting the infant and family
  • special enemas, which may be used to clear out the spores in the intestinal tract
  • penicillin to kill the bacteria in the gut
  • a ventilator, or artificial breathing machine
  • It is not clear whether antitoxin can help in infant botulism.

    What are the side effects of the treatments?

    Side effects vary depending on the treatment used. Penicillin can cause stomach upset and allergic reactions. Before the botulism antitoxin is given, a doctor may order a skin test to make sure the baby does not have an allergy to the antitoxin.

    What happens after treatment for the infection?

    Once a baby has been treated and symptoms have gone away, no further treatment is needed. If a baby survives the first few days of botulism, it may take months for symptoms to subside. Recovery is usually complete. If necessary, physical therapy or occupational therapy may help a baby recover muscle function.

    How is the infection monitored?

    A doctor may monitor the baby closely over the first few months while symptoms of botulism disappear. The baby's ability to breathe properly and muscle control will be watched closely. Any new or worsening symptoms should always be reported to the doctor.


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