{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T09:44:04Z","timestamp":1784195044017,"version":"3.55.0"},"reference-count":36,"publisher":"Akademiai Kiado Zrt.","issue":"24","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2007,6,1]]},"abstract":"<jats:p>A szerz\u0151k k\u00f6zlem\u00e9ny\u00fckben egy ritka, differenci\u00e1ldiagnosztikai szempontb\u00f3l neh\u00e9zs\u00e9get okoz\u00f3 k\u00f3rk\u00e9pre, a csecsem\u0151kori botulizmusra h\u00edvj\u00e1k fel a figyelmet. A bemutatott 6 h\u00f3napos csecsem\u0151 eset\u00e9ben a botulizmus \u00e9telm\u00e9rgez\u00e9ses form\u00e1ja a csecsem\u0151korra jellemz\u0151 val\u00f3di Clostridium botulinum-fert\u0151z\u00e9ssel keveredve jelent meg. A k\u00f3rk\u00e9p s\u00falyoss\u00e1ga \u00e9s az eset\u00fcnkben is megfigyelt rapid lefoly\u00e1s miatt a k\u00f3rism\u00e9t a pontos anamn\u00e9zis \u00e9s klinikai vizsg\u00e1lat alapj\u00e1n kell felvetni, majd c\u00e9lzott vizsg\u00e1latokkal meger\u0151s\u00edteni. Az eset ismertet\u00e9se kapcs\u00e1n \u00e1ttekintj\u00fck a k\u00f3rk\u00e9p mikrobiol\u00f3giai h\u00e1tter\u00e9t, t\u00fcnettan\u00e1t, epidemiol\u00f3giai jellemz\u0151it, a jelenlegi irodalmi aj\u00e1nl\u00e1soknak megfelel\u0151 laborat\u00f3riumi \u00e9s elektrofiziol\u00f3giai vizsg\u00e1l\u00f3 m\u00f3dszereket, a felmer\u00fcl\u0151 differenci\u00e1ldiagnosztikai neh\u00e9zs\u00e9geket \u00e9s a kezel\u00e9si lehet\u0151s\u00e9geket. K\u00fcl\u00f6n\u00f6s figyelmet ford\u00edtunk a csecsem\u0151kori forma speci\u00e1lis jellemz\u0151ire, a diagn\u00f3zis fel\u00e1ll\u00edt\u00e1s\u00e1nak az \u00e9letkori saj\u00e1toss\u00e1gokb\u00f3l ad\u00f3d\u00f3 neh\u00e9zs\u00e9geire, illetve a ter\u00e1pi\u00e1s ir\u00e1nyelvekkel kapcsolatos k\u00e9rd\u00e9sekre. A beteg\u00fcnkn\u00e9l megfigyelt gyors \u00e9s fat\u00e1lis lefoly\u00e1s figyelmeztet a korszer\u0171 ter\u00e1pia mellett is bek\u00f6vetkez\u0151 s\u00falyos sz\u00f6v\u0151dm\u00e9nyekre. \u00cdgy a javul\u00f3 prognosztikai adatok ellen\u00e9re a betegs\u00e9g megel\u0151z\u00e9s\u00e9re kell t\u00f6rekedn\u00fcnk a helyes t\u00e1pl\u00e1lkoz\u00e1shigi\u00e9n\u00e9s rendszab\u00e1lyok terjeszt\u00e9s\u00e9vel.<\/jats:p>","DOI":"10.1556\/oh.2007.27977","type":"journal-article","created":{"date-parts":[[2007,10,8]],"date-time":"2007-10-08T15:22:28Z","timestamp":1191856948000},"page":"1117-1125","source":"Crossref","is-referenced-by-count":4,"title":["Botulism in infancy \u2013 survey of literature based on a case report"],"prefix":"10.1556","volume":"148","author":[{"given":"Andrea","family":"Berkes","sequence":"first","affiliation":[{"name":"1 Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9gtudom\u00e1nyi Centrum Gyermekgy\u00f3gy\u00e1szati Klinika Debrecen Nagyerdei krt. 98. 4012"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Istv\u00e1n","family":"Szegedi","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9gtudom\u00e1nyi Centrum Gyermekgy\u00f3gy\u00e1szati Klinika Debrecen Nagyerdei krt. 98. 4012"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edit","family":"Szikszay","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9gtudom\u00e1nyi Centrum Gyermekgy\u00f3gy\u00e1szati Klinika Debrecen Nagyerdei krt. 98. 4012"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e1rta","family":"Guly\u00e1s","sequence":"additional","affiliation":[{"name":"2 Fodor J\u00f3zsef Orsz\u00e1gos K\u00f6zeg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont Orsz\u00e1gos \u00c9lelmez\u00e9s- \u00e9s T\u00e1pl\u00e1lkoz\u00e1studom\u00e1nyi Int\u00e9zete Budapest"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c9va","family":"Ol\u00e1h","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9gtudom\u00e1nyi Centrum Gyermekgy\u00f3gy\u00e1szati Klinika Debrecen Nagyerdei krt. 98. 4012"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"atypb1","volume-title":"A gyermekgy\u00f3gy\u00e1szat tank\u00f6nyve","year":"1997"},{"key":"atypb2","first-page":"249","volume":"42","year":"1998","journal-title":"Eg\u00e9szs\u00e9gtudom\u00e1ny"},{"key":"atypb3","volume-title":"Orvosi Mikrobiol\u00f3gia","year":"1999"},{"key":"atypb4","first-page":"12","volume":"21","year":"2000","journal-title":"Pediatr. 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