{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,17]],"date-time":"2023-11-17T19:22:59Z","timestamp":1700248979402},"reference-count":0,"publisher":"Ordem dos Medicos","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>O botulismo \u00e9 uma doen\u00e7a grave causada pela exposi\u00e7\u00e3o a toxina botul\u00ednica. Manifesta-se por paralisia fl\u00e1cida, sim\u00e9trica e em\u00a0padr\u00e3o descendente que afeta nervos cranianos e perif\u00e9ricos. Dada a frequente necessidade de ventila\u00e7\u00e3o mec\u00e2nica invasiva, estes\u00a0doentes devem ser abordados em ambiente de cuidados intensivos. O tratamento com soro anti-toxina botul\u00ednica \u00e9 o \u00fanico eficaz. Os\u00a0autores apresentam o caso de uma doente de 64 anos, com quadro de v\u00f3mitos e vertigem, com evolu\u00e7\u00e3o para diplopia, disfagia e\u00a0par\u00e9sia muscular fl\u00e1cida, sim\u00e9trica e descendente, com instala\u00e7\u00e3o ap\u00f3s ingest\u00e3o de conserva alimentar de fabrico caseiro. Do estudo\u00a0etiol\u00f3gico salienta-se eletroneuromiograma com les\u00e3o pr\u00e9 sin\u00e1ptica compat\u00edvel com hip\u00f3tese de botulismo. Melhoria progressiva dos\u00a0d\u00e9fices ap\u00f3s administra\u00e7\u00e3o de soro anti-toxina botul\u00ednica. Faz-se uma breve revis\u00e3o te\u00f3rica de uma patologia grave, potencialmente\u00a0fatal e pouco frequente no nosso pa\u00eds.<\/jats:p>","DOI":"10.20344\/amp.9453","type":"journal-article","created":{"date-parts":[[2018,12,4]],"date-time":"2018-12-04T08:15:44Z","timestamp":1543911344000},"page":"691-693","source":"Crossref","is-referenced-by-count":1,"title":["Botulismo Alimentar: Uma Doen\u00e7a Esquecida"],"prefix":"10.20344","volume":"31","author":[{"given":"Paula","family":"Neves","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorc\u00e9lio","family":"Vicente","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heidy","family":"Cabrera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iurie","family":"Pantazi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8464","published-online":{"date-parts":[[2018,11,30]]},"container-title":["Acta M\u00e9dica Portuguesa"],"original-title":[],"link":[{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/9453\/5539","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/9453\/5539","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,25]],"date-time":"2022-10-25T08:32:06Z","timestamp":1666686726000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/view\/9453"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,30]]},"references-count":0,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2018,11,30]]}},"URL":"https:\/\/doi.org\/10.20344\/amp.9453","relation":{},"ISSN":["1646-0758","0870-399X"],"issn-type":[{"value":"1646-0758","type":"electronic"},{"value":"0870-399X","type":"print"}],"subject":[],"published":{"date-parts":[[2018,11,30]]}}}