On May 25, Dr. Truong Thi Ngoc Phu, Children's Hospital 2, said that the hospital's pharmacy warehouse had received and stored 3 bottles of botulinum antitoxin on the evening of May 24.
"The 3 vials of medicine were distributed to the hospital because there are 3 pediatric patients being treated there. Currently, 1 case is stable, and 2 cases are on ventilators. The use of BAT antidote will require consultation with experts at Cho Ray Hospital. However, normally, BAT antidote needs to be infused early to neutralize the toxin and prevent synapsis with the neuromuscular junction," Dr. Phu shared.
Quick view 8:00 p.m. May 25: Measures to prevent botulinum poisoning | The mystery of the longevity village in Hue
A patient with botulinum poisoning is treated at Cho Ray Hospital.
Dr. Huynh Van An, Head of the Intensive Care and Anti-Poison Department, Gia Dinh People's Hospital, said that the best antidote for botulinum is to use it as soon as possible to prevent the disease from progressing.
According to Dr. An, if the patient has good progress without needing the antidote BAT, the doctor will consider whether to use it or not because this is a rare drug. If the patient has a severe progression and still has a chance, the sooner the drug is used, the better.
Also on May 25, according to a representative of Cho Ray Hospital, this unit received 2 bottles of BAT antidote. However, the time limit for using the drug for 2 patients has passed, so these drugs have not been used.
A BAT antidote
According to Dr. Le Quoc Hung, Head of the Department of Tropical Diseases, Cho Ray Hospital, a case of botulinum poisoning using BAT early can help the patient recover from paralysis within 48 to 72 hours, and will not require a ventilator.
45-year-old patient died before receiving antidote
On the morning of May 25, information from Gia Dinh People's Hospital said that a 45-year-old man (residing in Thu Duc City, Ho Chi Minh City), one of the 6 patients with botulinum poisoning being treated in Ho Chi Minh City, died on the evening of May 24.
The patient was diagnosed with botulinum type A poisoning, a very severe type. A consultation with poisoning experts determined the risk of death was high.
At 8:00 p.m. on May 24, Gia Dinh People's Hospital received a bottle of botulinum toxin antidote for the patient from the World Health Organization (WHO). However, before that, the patient had respiratory failure and had to be put on a ventilator, had drooping eyelids, weak limbs, respiratory muscles, and a high fever that did not respond to antipyretics, along with a rapid pulse and gradually falling blood pressure. This was a serious complication due to the toxin affecting the autonomic nervous system. The patient received intensive resuscitation, but did not respond to treatment and died.
This is one of three cases of botulinum poisoning along with two siblings being treated at Cho Ray Hospital.
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