Evidence map›Paper›PMID 41426889›Full record

ArticleCureus2025

Foodborne Botulism Presenting With Isolated Cranial Nerve Involvement in a Young Adult.

Miguel Barbosa, Maria E Batista, Daniela Carneiro, Sofia Cardoso, Nuno Germano

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Miguel BarbosaDepartment of Critical Care Medicine, Hospital Curry Cabral, Unidade Local de Saúde de São José, Lisbon, PRT.
Maria E BatistaDepartment of Critical Care Medicine, Hospital Curry Cabral, Unidade Local de Saúde de São José, Lisbon, PRT.
Daniela CarneiroDepartment of Critical Care Medicine, Hospital Curry Cabral, Unidade Local de Saúde de São José, Lisbon, PRT.
Sofia CardosoDepartment of Critical Care Medicine, Hospital Curry Cabral, Unidade Local de Saúde de São José, Lisbon, PRT.
Nuno GermanoDepartment of Critical Care Medicine, Hospital Curry Cabral, Unidade Local de Saúde de São José, Lisbon, PRT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A young man presented with progressive cranial nerve dysfunction following participation in a communal meal. Initial investigations and imaging were inconclusive; Guillain-Barré syndrome and viral encephalitis were considered in the differential diagnosis. He was admitted to the intensive care unit (ICU) due to the potential need for respiratory support. The progression of neurological dysfunction, combined with relevant dietary exposure, raised clinical suspicion for botulism. The patient was treated with heptavalent botulinum antitoxin, and serum testing later confirmed the presence of botulinum toxin type A. With multidisciplinary supportive care, he fully recovered without requiring mechanical ventilation. This case highlights the importance of early recognition of bulbar symptoms, the timely administration of empirical antitoxin therapy, and the role of ICU monitoring. It also underscores how non-specific early symptoms can delay diagnosis and emphasizes the need for high clinical suspicion in otherwise healthy young patients.

Indexed as

bulbar symptomscranial nerve paralysisdiagnosis of rare casesfoodborne botulismmedical intensive care unit (micu)

Identifiers

PMID41426889
PMCPMC12712444

What OpenQuestion holds

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Registered trials

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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.