Acute onset areflexic quadriparesis with blurred vision and absent pupillary response in a 20 years old male, the most probable diagnosis is?
ANSWER: (B) BotulismREF: Harrison s 17th ed p. 901, CMDT - 2006/1410The clinical picture is most consistent with diagnosis of botulismBotulismh/o recent injection of canned or smoked foods or injection of drugSymmetric descending paralysis with prominent bulbar palsyDiplopia , dysarthria , dysphonia , dysphagiaPupils are fixed and dilatedPtosis and cranial nerve palsy with impairment of extra ocular muscles and fixed dilated pupils are characteristic signsSensory examination is normalNormal sensoriumAfebrile
Porphyria
Botulism
Polio
Diphtheria
Toxicology