Thursday, December 29, 2011

Food poisoning

Diagnosis:

Usually many cases sharing the same food.

* Botulism: Often with eating canned food (salmon - jam - ..............and others).

With incubation period 12 - 36 hours.

Clinical picture: ptosis - dilated pupil - diplopia - dysphagia and respiratory paralysis.

No GIT manifestations.

Treatment:

1- Gastric lavage.

2- Polyvalent antitoxic serum.

3- Care of respiratory failure.

4- Symptomatic Treatment.

NB: Treatment is of no value if clinical picture is well seen.

* Salmonellosis: Food contaminated with Salmonella typhimurium or salmonella enteritidis (incubation period 12 - 24 hours).

Clinical picture: GIT manifestations (nausea - vomiting - diarrhea - ..............)

Widal test is important after 1 week.

Treatment:

1- Gastric lavage (Not effective enough).

2- Symptomatic treatment.

* Staphylococcus poisoning:

Contaminated food (takeaway).

Clinical picture: GIT manifestation (nausea - vomiting - diarrhea - .........) - rapid onset - no fever - rapid recovery.

Treatment: 

1- Gastric lavage may be needed in severe cases.
 
2- Symptomatic cases.

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