{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T00:01:00Z","timestamp":1764720060287,"version":"3.46.0"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fortschr Neurol Psychiatr"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Ein 56-j\u00e4hriger Patient wurde vom Rettungsdienst mit progredienter\n                    Gangunsicherheit, Dysarthrie und gastrointestinalen Beschwerden in der\n                    neurologischen Abteilung der Notaufnahme vorgestellt. Klinisch fanden sich\n                    zus\u00e4tzlich eine bilaterale Mydriasis, eine asymmetrische beidseitige Ptosis,\n                    proximale Paresen der oberen Extremit\u00e4t und eine ausgepr\u00e4gte Mundtrockenheit.\n                    Bildgebend unauff\u00e4llig, ergab die differenzialdiagnostische Abkl\u00e4rung Hinweise\n                    auf eine neurotoxische Ursache. Die Anamnese mit k\u00fcrzlichem Verzehr\n                    konservierter Lebensmittel und die charakteristische Symptomatik f\u00fchrten rasch\n                    zur Verdachtsdiagnose eines lebensmittelbedingten Botulismus. Nach fr\u00fchzeitiger\n                    Antitoxin-Gabe und intensivmedizinischer Therapie mit vor\u00fcbergehender invasiver-\n                    und nicht-invasiver Beatmung konnte der Patient ohne neurologische Residuen nach\n                    14 Tagen entlassen werden.<\/jats:p>","DOI":"10.1055\/a-2600-3625","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T18:47:17Z","timestamp":1750963637000},"page":"517-521","source":"Crossref","is-referenced-by-count":0,"title":["Lebensmittelinduzierter Botulismus \u2013 Diagnose, Behandlung und\n                    Verlauf"],"prefix":"10.1055","volume":"93","author":[{"given":"Tim","family":"Schr\u00f6der","sequence":"additional","affiliation":[{"name":"Zentrale Notaufnahme, Johanna-Etienne-Krankenhaus gGmbH,\n                    Neuss, Germany"},{"name":"Department f\u00fcr Gesundheit, Universit\u00e4t Witten\/Herdecke,\n                    Witten, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexey","family":"Saranov","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Neurologie, Johanna-Etienne-Krankenhaus\n                    gGmbH, Neuss, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,6,26]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"449","DOI":"10.12659\/AJCR.928419","article-title":"Myasthenic Crisis as the First Presentation of Myasthenia Gravis: A Case\n                    Report","volume":"22","author":"A O Payus","year":"2020","journal-title":"Am J Case Rep"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1703","DOI":"10.1016\/S0041-0101(01)00157-X","article-title":"Clostridium botulinum and its neurotoxins: a metabolic and cellular\n                    perspective","volume":"39","author":"E Johnson","year":"2001","journal-title":"Toxicon"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1304","DOI":"10.1055\/s-0043-112232","article-title":"Botulismus: Diagnostik und Therapie","volume":"142","author":"S Wendt","year":"2017","journal-title":"DMW - Dtsch Med Wochenschr"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13256-017-1523-9","article-title":"Foodborne botulism due to ingestion of home-canned green beans: two case\n                    reports","volume":"12","author":"D Hellmich","year":"2018","journal-title":"J Med Case Reports"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3389\/fmicb.2021.713101","article-title":"Foodborne Botulism Outbreaks in the United States, 2001\u20132017","volume":"12","author":"C L\u00faquez","year":"2021","journal-title":"Front Microbiol"},{"volume-title":"Masseter Hypertrophy Toxin Treatment Techniques, Causes of Complications, and\n                    Prevention","year":"2018","author":"H-LP Peng","key":"ref7"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"788","DOI":"10.46234\/ccdcw2022.114","article-title":"Epidemiological Analysis of Foodborne Botulism Outbreaks - China, 2004-2020","volume":"4","author":"H Li","year":"2022","journal-title":"China CDC Wkly"},{"key":"ref9","first-page":"1316","volume-title":"Immunvermittelte und erregerassoziierte Neuropathien. 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