{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,2,19]],"date-time":"2023-02-19T23:29:17Z","timestamp":1676849357853},"reference-count":7,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2012,1,1]],"date-time":"2012-01-01T00:00:00Z","timestamp":1325376000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Infectious Diseases"],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p>We describe two linked cases of botulinum toxin intoxication to provide the clinician with a better idea about how botulism cases may present since early diagnosis and treatment are crucial in botulism. Botulinum toxin is the strongest neurotoxin known.<jats:italic>Methods:<\/jats:italic>We review the available literature, the compiled clinical data, and observations.<jats:italic>Results:<\/jats:italic>After a slow onset of clinical signs a married couple living in Vienna presented with dysphagia, difficulties in accommodation, inability to sweat, urinary and stool retention, dizziness, and nausea. They suffered intoxication with botulinum toxin type B. Botulism is a rarely occurring disease in Austria. In the last 21 years there were only twelve reported cases.<jats:italic>Conclusion:<\/jats:italic>Both patients went to a general practitioner as well as several specialists before they were sent to and correctly diagnosed at our outpatient department. To avoid long delays between intoxication and diagnosis we think it is crucial to advert to the complex symptoms a nonsevere intoxication with botulinum toxin can produce, especially since intoxications have become rare occurrences in the industrialized societies due to the high quality of industrial food production.<\/jats:p>","DOI":"10.1155\/2012\/438989","type":"journal-article","created":{"date-parts":[[2012,6,22]],"date-time":"2012-06-22T14:26:20Z","timestamp":1340375180000},"page":"1-3","source":"Crossref","is-referenced-by-count":1,"title":["The First Case(s) of Botulism in Vienna in 21 Years: A Case Report"],"prefix":"10.1155","volume":"2012","author":[{"given":"Matthias Gerhard","family":"Vossen","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine I, Medical University of Vienna, 1090 Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus-Bernhard","family":"Gattringer","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine I, Medical University of Vienna, 1090 Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith","family":"Wenisch","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine I, Medical University of Vienna, 1090 Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neda","family":"Khalifeh","sequence":"additional","affiliation":[{"name":"Division of Nephrology and Dialysis, Department of Internal Medicine III, Medical University of Vienna, 1090 Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Koreny","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Medical University of Vienna, 1090 Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Verena","family":"Spertini","sequence":"additional","affiliation":[{"name":"Clinical Institute of Hospital Hygiene, Medical University of Vienna, 1090 Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franz","family":"Allerberger","sequence":"additional","affiliation":[{"name":"Austrian Agency for Health and Food Safety, Institute for Medical Microbiology and Hygiene, 1220 Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"Graninger","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine I, Medical University of Vienna, 1090 Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Kornschober","sequence":"additional","affiliation":[{"name":"Austrian Agency for Health and Food Safety, Institute for Medical Microbiology and Hygiene, 8010 Graz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heimo","family":"Lagler","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine I, Medical University of Vienna, 1090 Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Reitner","sequence":"additional","affiliation":[{"name":"Department of Ophtalmology and Optometry, Medical University of Vienna, 1090 Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Sycha","sequence":"additional","affiliation":[{"name":"Department of Neurology, Medical Universiy of Vienna, 1090 Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Thalhammer","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine I, Medical University of Vienna, 1090 Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"issue":"8","key":"1","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1001\/jama.285.8.1059","volume":"285","year":"2001","journal-title":"Journal of the American Medical Association"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.296.20.2476"},{"issue":"3","key":"6","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1128\/MMBR.44.3.419-448.1980","volume":"44","year":"1980","journal-title":"Microbiological Reviews"},{"issue":"8","key":"7","doi-asserted-by":"crossref","first-page":"1167","DOI":"10.1086\/444507","volume":"41","year":"2005","journal-title":"Clinical Infectious Diseases"},{"issue":"1","key":"8","first-page":"63","volume":"7","year":"2010","journal-title":"Urology Journal"},{"issue":"3","key":"10","doi-asserted-by":"crossref","first-page":"363","DOI":"10.7326\/0003-4819-108-3-363","volume":"108","year":"1988","journal-title":"Annals of Internal Medicine"},{"issue":"12","key":"11","volume":"11","year":"2006","journal-title":"Euro Surveillance"}],"container-title":["Case Reports in Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2012\/438989.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2012\/438989.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2012\/438989.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T19:52:57Z","timestamp":1594324377000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/criid\/2012\/438989\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012]]},"references-count":7,"alternative-id":["438989","438989"],"URL":"https:\/\/doi.org\/10.1155\/2012\/438989","relation":{},"ISSN":["2090-6625","2090-6633"],"issn-type":[{"value":"2090-6625","type":"print"},{"value":"2090-6633","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012]]}}}