A previously healthy 5-month-old male infant was admitted with progressive letha

Question

A previously healthy 5-month-old male infant was admitted with progressive lethargy and loss of developmental milestones over 3 weeks, constipation for 12 days, and poor suckling and feeding.He had been breast-fed, and bottled foods were added at the age of 3 months. On examination, the child was generally hypotonic with flaccid extremities, no head control, and no suck or Moro reflexes.He was alert, able to smile, and had no oculomotor weakness.

Our Resident asks the Mother if she added honey to the nipple of the baby bottle. What?

What is he thinking here?

How are we going to proceed?

Should collect stool specimens for toxin testing and culture?

Our Resident asks us to get the anti-neurotoxin.

–Why?

–Which one?

Please don't answer the question unless you know the complete answer to the case study form below.

Below is the Case Study Form:

Patient History:

Patient #:_______________________

Age:___________________________

Sex:___________________________

Occupation:______________________

Family History/Preconditions:

Relevant Recent History:

Signs and Symptoms:

Signs:

Symptoms:

Microbiology:

Causative Organism(s):_________________

Modes of Transmission:_________________

____________________________________

Prevention:___________________________

Virulence Factor:

Mechanism of Virulence Factor:

Treatment:

Drug Name:__________________________

Class of Drug:________________________

____________________________________

Type of Admission:____________________

Potential Side Effects of Drug Treatment:

Mechanism of Treatment:

Lab Work:

Type of Sample Received:_______________

____________________________________

Test(s) To Determine Causative Organism:

Positive Results of Test(s):

Explanation / Answer

A previously healthy 5-month-old male infant was admitted with progressive letha

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