Two brothers botulinum p.oisoning: Muscle paralysis gets worse, can't say anything

Two brothers who ate fried rice with bread with botulinum p.oisoning while being treated at Cho Ray Hospital still have not seen any positive changes, especially the brother. Doctors at Cho Ray Hospital said that it is impossible to predict the possibilities.

Regarding the cluster of botulinum p.oisoning cases, on May 26, Doctor.CK2 Do Thi Ngoc Khanh - Deputy Department of Tropical Diseases, Cho Ray Hospital (HCMC) said, after 14 days of hospitalization and treatment, health 2 patients (two brothers aged 18 and 26) still have not had any positive changes, especially the brother.

Accordingly, the 26-year-old brother's muscle paralysis condition worsened, gradually increasing, the strength of the extremities from 2/5 to 3/5. Currently, both brothers are still in the Intensive Care Unit of the Department of Tropical Diseases.

"We are still trying to use aggressive treatments to prevent further events and prevent the progression of potentially worse disease. However, we also cannot predict the health situation in advance. of both patients" , said Doctor.CK2 Do Thi Ngoc Khanh.

At Children's Hospital 2, on May 26, 14-year-old NVH, living in Thu Duc City, one of three botulinum-poisoned siblings, had completely recovered his extremities, his eyelids had stopped, and his eyelids had completely recovered. breathing and eating, after more than a week of treatment. The b.aby was discharged from the hospital in the afternoon of the same day by the general internal medicine doctors.

Meanwhile, patients with NVD. (13 years old, little brother H.) still has not improved the strength of the extremities, still drooping eyelids, not breathing on his own, paralytic ileus. The patient was tracheostomy on May 24 and continued with low-parameter ventilation and intravenous nutrition. As for the 10-year-old NTX c.hild, breathing was weak on his own, the muscle strength of the upper and lower limbs was 4/5 and 2/5, respectively, had weaned off the machine once but failed.

On May 25, Children's Hospital 2 consulted with Cho Ray Hospital and agreed that both children D. and X. will continue to receive supportive treatment (ventilator, nutrition, long-term care), with no indication for additional BAT.

From May 13, Ho Chi Minh City recorded 6 people (all living in Thu Duc City) showing symptoms of botulinum p.oisoning and had to be admitted to 3 hospitals. 5 cases had eaten bread with a type of fried rice, the other was a 45-year-old male patient who ate a type of fish sauce that had been kept for a long time.

On the evening of May 24, the 45-year-old man died of severe complications, unable to take the BAT antidote ($8,000/vial) with emergency aid to Vietnam by the World Health Organization (WHO).

To avoid botulinum toxin p.oisoning, the Food Safety Authority (Ministry of Health) recommends that people be cautious when using foods. In a notice issued on May 26, the Department of Food Safety stated that in recent days, there have been some cases of patients suspected of p.oisoning due to botulinum toxin in some localities such as Kon Tum and Binh Duong.

Botulinum toxin is a serious p.oisoning that affects human health.

Botulinum toxin is produced by the bacterium Clostridium botulinum in an anaerobic (airless environment). Products from vegetables, tubers, fruits, fermented and canned meat and seafood that do not meet food safety conditions are at risk of being contaminated with Clostridium botulinum bacteria and producing botulinum toxin.

Patients with botulinum toxin p.oisoning have nausea, vomiting, abdominal distension, abdominal pain, paralysis in the sequence of paralysis starting from the head, face and neck, spreading to the hands, then to the legs, paralysis of the respiratory muscles. steam; Severe paralysis can cause respiratory failure which is the cause of d.eath.

Faced with the above situation, the Food Safety Department recommends that people strictly comply with ensuring food safety and hygiene, eat well and drink well.

"Only use food products and food ingredients of clear origin. Absolutely do not use canned products that have expired, bulged, flattened, deformed, rusted, is not intact or has unusual taste or color changes.

People who use canned products if experiencing the above symptoms should immediately go to the nearest medical facility for timely examination and treatment," the Food Safety Department stated.

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