An 18 year old male presented with acute onset descending paralysis of 3 days duration. There is also a history of blurring of vision for the same duration. On examination, the patient has quadriparesis with areflexia. Both the pupils are non-reactive. The most probable diagnosis is:
Correct Answer: Botulism
Description: Diagnosis of botulism should be considered in patient with symmetric descending paralysis with bilateral cranial neuropathies in addition of following features:
Absent fever
Patient remains responsive
Heart rate normal or slow
Sensory deficit doesn’t occur except for blurred vision.
Remember: Neurologic signs and symptom of botulism:
Dysphagia
Dry mouth
Diplopia
Dysarthria
Upper limb weakness
Lower limb weakness
Blurred vision
Dyspnea
Category:
Microbiology
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now