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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Cases Muscle Weakness And Dehydration?

Asking what could be possibly wrong with a 12 week year old male with a five-day history of muscle weakness and a one-day history of dehydration. The baby also had a decrease in the vigor of feeding during breast-feeding three days ago. Other symptoms include the baby having a difficult time sitting up and moving less than usual. He is limp, unresponsive to stimuli, trouble with gurgling in the back of his throat, very poor head control, and increased flaccidness. He had severe muscle-weakness and dehydration. Cerebrospinal fluid measurements were within a normal range. When the baby s throat was swabbed, no microbes could be grown under aerobic conditions. His diet consists primarily of breast milk, and occasionally honey. The baby s medical history revealed that he had received no immunizations. The father had recently returned from Western Uganda where he had been performing anthropological research on local populations in the area. Both parents had also visited various parts of Africa over the previous decade. This is a hypothetical situation but would like to know what is wrong with the baby.
Thu, 2 Aug 2018
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Pediatrician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

You are describing a baby who likely has infant botulism. This illness is caused by botulinum toxin which is made by the bacterium, Clostridium botulinum. This bacterium can be found in honey. It is recommended not to give honey to infants under one year of age. It is absolutely urgent that you take this baby to the nearest emergency room now!

Hope I have answered your query. If you have any further questions, I will be happy to help.

Arnold Zedd, MD, FAAP
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What Cases Muscle Weakness And Dehydration?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You are describing a baby who likely has infant botulism. This illness is caused by botulinum toxin which is made by the bacterium, Clostridium botulinum. This bacterium can be found in honey. It is recommended not to give honey to infants under one year of age. It is absolutely urgent that you take this baby to the nearest emergency room now! Hope I have answered your query. If you have any further questions, I will be happy to help. Arnold Zedd, MD, FAAP