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.
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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