Epidemiology and Infectious DiseasesEpidemiology and Infectious DiseasesЭпидемиология и инфекционные болезни3034-20073034-2015Eco-Vector63254710.17816/EID632547Case reportsКлинические случаиResearch ArticleUnderdiagnosis of botulism as a cause of tragedy: A case reportГиподиагностика ботулизма как причина трагедии: случай из практикиhttps://orcid.org/0000-0002-2205-96749044-5289NikiforovVladimir V.НикифоровВладимир Владимирович
Russian Federation

MD, Dr. Sci (Medicine)

д-р мед. наук, профессор

v.v.nikiforov@gmail.comhttps://orcid.org/0009-0009-2606-7071KozhevnikovaAnastasia V.КожевниковаАнастасия Владимировна
Russian Federation
ice1234@yandex.ruhttps://orcid.org/0000-0002-5696-15866755-0576TyurinIgor N.ТюринИгорь Николаевич
Russian Federation

MD, Cand. Sci. (Medicine), Assistant Professor

канд. мед. наук, доцент

ikb@zdrav.mos.ruhttps://orcid.org/0009-0008-3853-4792ChernobrovkinaTatyana Y.ЧернобровкинаТатьяна Яковлевна
Russian Federation

MD, Cand. Sci. (Medicine), Assistant Professor

канд. мед. наук, доцент

Tanyura541@mail.ruhttps://orcid.org/0009-0004-6668-21443146-1468ZykovaOlga A.ЗыковаОльга Алексеевна
Russian Federation

MD, Cand. Sci. (Medicine), Assistant Professor

канд. мед. наук, доцент

ozpenza@yandex.ruhttps://orcid.org/0000-0001-8578-2838AntipyatNatalia A.АнтипятНаталья Александровна
Russian Federation
ikb@zdrav.mos.ruhttps://orcid.org/0000-0002-5071-6328LyapeykovaEkaterina A.ЛяпейковаЕкатерина Александровна
Russian Federation
ikb@zdrav.mos.ruPirogov Russian National Research Medical UniversityРоссийский национальный исследовательский медицинский университет имени Н.И. ПироговаAcademy of Postgraduate Education of the Federal Research and Clinical Centre for Specialized Medical Care and Medical TechnologiesАкадемия постдипломного образования Федерального научно-клинического центра специализированных видов медицинской помощи и медицинских технологийInfectious Diseases Clinical Hospital No. 1Инфекционная клиническая больница № 128062024150720242932042142305202419062024Copyright ©; 2024, Eco-vectorCopyright ©; 2024, Эко-вектор2024Eco-vectorЭко-векторhttps://creativecommons.org/licenses/by-nc-nd/4.0/https://rjeid.com/1560-9529/article/view/632547

Botulism has unique clinical picture; however, some of its manifestations, when analyzed separately, are similar to the manifestations of other, both infectious and noncommunicable diseases. This contributes to the occurrence of diagnostic errors because botulism is not one of the most common infectious diseases; as a result, most practitioners are familiar with the clinical picture of botulism purely theoretically and clearly insufficiently. The article analyzes the course of botulism in a group of family diseases when, at the first visit to specialists, botulism was diagnosed in any of the patients not receiving medical care. In addition, the causes and effects of prolonged toxemia (20 days) in one of the patients are discussed.

Ботулизм имеет свою, совершенно уникальную клиническую картину, однако некоторые его проявления, взятые по отдельности, сходны с проявлениями других, как инфекционных, так и неинфекционных, болезней. Это способствует возникновению диагностических ошибок, тем более что ботулизм не относится к числу часто встречающихся инфекционных заболеваний, ввиду чего основная масса практических врачей оказывается знакомой с клинической картиной ботулизма исключительно в теории и явно недостаточно. В статье даётся анализ течения ботулизма при групповом семейном заболевании, когда ни на одном этапе оказания медицинской помощи диагноз ботулизма при первичном обращении к специалистам ни у одного из заболевших диагностирован не был. Кроме того, обсуждаются причины и следствие длительной токсемии (20 дней) у одного из пациентов.

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