INFANT BOTULISM - THE FIRST CULTURE-CONFIRMED DANISH CASE

Infant botulism is caused by intestinal colonization by Clostridium bo tulinum, C. barati or C. butyricum. Infant botulism has only rarely be en reported outside the USA. A 3-month-old boy developed constipation, lethargy, feeding difficulties and descending, severe, symmetric weak ness. He was breastfed but had also been fed honey. Supportive care le d to complete recovery. The serum was positive for C. botulinum toxin type A-F (mouse toxin neutralization assay). A strain of C. botulinum producing toxin type A and E was identified in the stool. C. botulinum was identified in a jar of honey of the same brand as the honey fed t o the patient.