{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T16:36:31Z","timestamp":1769186191489,"version":"3.49.0"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T00:00:00Z","timestamp":1708905600000},"content-version":"vor","delay-in-days":56,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Pediatrics"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>This case illustrates a 5\u2010week\u2010old girl who presented with decreased activity, decreased feeds, poor suck, weak cry, lethargy, hypotonia, and areflexia. The child was found to have infant botulism. The case demonstrates the importance of a full history and broad differential in an ill\u2010appearing infant. The differential for an ill\u2010appearing infant should always include infectious etiologies and may include metabolic disorders, congenital anomalies, nonaccidental trauma, neurologic disorders, and endocrine disorders. The broad differential diagnosis may make rapid diagnosis and treatment for infantile botulism a challenge.<\/jats:p>","DOI":"10.1155\/2024\/4647591","type":"journal-article","created":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T18:05:06Z","timestamp":1708970706000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["From Rarity to Recognition: Infantile Botulism and the Broad Spectrum of Differential Diagnoses"],"prefix":"10.1155","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1111-8082","authenticated-orcid":false,"given":"Matthew C.","family":"Authement","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon M.","family":"Jones","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert J.","family":"Kahoud","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5908-0231","authenticated-orcid":false,"given":"Elizabeth H.","family":"Ristagno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,26]]},"reference":[{"key":"e_1_2_6_1_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.6922"},{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2017.09.044"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.120340"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1210\/edrv.21.3.0398"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7211651"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1542\/pir.2015-0018"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.5152\/eajm.2010.25"},{"key":"e_1_2_6_8_2","unstructured":"California Department of Public Health Infant botulism treatment and prevention program 2022 https:\/\/www.cdph.ca.gov\/Programs\/CID\/DCDC\/Pages\/InfantBotulism.aspx."},{"key":"e_1_2_6_9_2","unstructured":"Centers for Disease Control and Prevention Infant botulism: information for clinicians botulism cdc 2022 https:\/\/www.cdc.gov\/botulism\/infant-botulism.html."},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa051926"},{"key":"e_1_2_6_11_2","volume-title":"StatPearls","author":"Jeffery I. 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