In 1976, the United States first reported cases of infant botulism. It mainly occurs in infants from 1 to 12 months, especially infants under 6 months. Due to the special environment of the intestinal tract and the lack of protective flora and the bile acid that inhibits Clostridium botulinum, when a baby eats Clostridium botulinum spores or food contaminated with spores, the spores will germinate, multiply and reproduce in the baby’s intestines. Produced neurotoxins are absorbed and cause poisoning. The typical symptoms are constipation, weakness in breastfeeding, decreased appetite and growth arrest. In severe cases, death is caused by respiratory arrest. In the United States in the past 20 years, the incidence of infant botulism has surpassed that of food-borne botulism. Approximately 250 cases of infant botulism are diagnosed each year, and honey has been confirmed to be one of the baby foods for infants ingesting botulinum spores. One. In our country, there are few reports of infant botulism. The first reason is the lack of comprehensive epidemiological survey data of infant botulism, which does not rule out that many cases have not been found; the second is due to the symptoms of infant botulism and clinical sudden infant death. The syndrome (Suddeninfantdeathsyndrome, SIDS) is similar, and some clinical misjudgments cannot be ruled out.
