Evidence map›Paper›PMID 38830658›Full record

ArticleSaudi medical journal2024

Foodborne botulism outbreak with potential new management options.

Ali H Altalag, Mohammed A Badawee, Sahar A Hassan, Nahla A Habiballa, Naif M Alotaibi, Ehab A Ahmed, Mohammed N Aljuaid, Muhammad A Almalki, Ahmed A Alahmari, Adulrahman A Alshehri

Abstract read
In one paragraph

Article in Saudi medical journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ali H AltalagFrom the Intensive Care Services (Altalag, Badawee, Hassan, Alotaibi, Ahmed, Aljuaid, Almalki, Alahmari, Alshehri); and from the Department of Infection Control (Habiballa), Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.ORCID https://orcid.org/0009-0005-3010-4120
Mohammed A BadaweeFrom the Intensive Care Services (Altalag, Badawee, Hassan, Alotaibi, Ahmed, Aljuaid, Almalki, Alahmari, Alshehri); and from the Department of Infection Control (Habiballa), Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
Sahar A HassanFrom the Intensive Care Services (Altalag, Badawee, Hassan, Alotaibi, Ahmed, Aljuaid, Almalki, Alahmari, Alshehri); and from the Department of Infection Control (Habiballa), Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
Nahla A HabiballaFrom the Intensive Care Services (Altalag, Badawee, Hassan, Alotaibi, Ahmed, Aljuaid, Almalki, Alahmari, Alshehri); and from the Department of Infection Control (Habiballa), Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
Naif M AlotaibiFrom the Intensive Care Services (Altalag, Badawee, Hassan, Alotaibi, Ahmed, Aljuaid, Almalki, Alahmari, Alshehri); and from the Department of Infection Control (Habiballa), Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
Ehab A AhmedFrom the Intensive Care Services (Altalag, Badawee, Hassan, Alotaibi, Ahmed, Aljuaid, Almalki, Alahmari, Alshehri); and from the Department of Infection Control (Habiballa), Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
Mohammed N AljuaidFrom the Intensive Care Services (Altalag, Badawee, Hassan, Alotaibi, Ahmed, Aljuaid, Almalki, Alahmari, Alshehri); and from the Department of Infection Control (Habiballa), Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
Muhammad A AlmalkiFrom the Intensive Care Services (Altalag, Badawee, Hassan, Alotaibi, Ahmed, Aljuaid, Almalki, Alahmari, Alshehri); and from the Department of Infection Control (Habiballa), Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
Ahmed A AlahmariFrom the Intensive Care Services (Altalag, Badawee, Hassan, Alotaibi, Ahmed, Aljuaid, Almalki, Alahmari, Alshehri); and from the Department of Infection Control (Habiballa), Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
Adulrahman A AlshehriFrom the Intensive Care Services (Altalag, Badawee, Hassan, Alotaibi, Ahmed, Aljuaid, Almalki, Alahmari, Alshehri); and from the Department of Infection Control (Habiballa), Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo shed some light on a potential therapeutic modality that may facilitate resolution of botulism symptoms, namely 3,4-diaminopyridine (3,4-DAP).

methodsIn Riyadh, Saudi Arabia, we recently encountered a foodborne botulism outbreak that, luckily, was discovered early. In Prince Sultan Military Medical city, we admitted, during a period of approximately 3 weeks, 15 probable cases, 2 of which were excluded due to more likely alternative diagnoses. We report in this case series 13 highly suspected cases of botulism that we encountered during the outbreak.

resultsA total of 12 out of 13 patients required intensive care unit (ICU) admission, one of which required intubation. Symptoms included cranial nerve palsies, gastrointestinal symptoms, limb and respiratory muscle weakness. Patients showed clinical improvement when received botulinum antitoxin and 3,4-DAP if given early in the course of the disease.

conclusionEarly admisntration of 3,4-DAP may facilitate recovery and prevent disease progression. Larger prospective trials should be carried out to confirm that.

Indexed as

BotulismDisease OutbreaksAdultAmifampridineBotulinum AntitoxinFemaleHumansMaleMiddle AgedSaudi ArabiaYoung AdultAmifampridineBotulinum Antitoxin3,4-diaminopyridineantitoxinbotulismoutbreakparalysis

Identifiers

PMID38830658
PMCPMC11147606

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.