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    Infantile botulism is an uncommon diagnosis and rarer still in the neonatal period. We describe three cases of neonatal-onset botulism that presented with symptoms typically (hypotonia, constipation, facial diplegia) or atypically seen in older infants (encephalopathy, seizures, and hypothermia). Our series shows a wider spectrum of clinical presentations in patients with neonatal-onset botulism. Our report also suggests that neonatal-onset botulism should be considered more broadly in the hypotonic infant, especially as the condition is treatable with intravenous botulinum-specific immune globulin.

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    Clinical ObservationsSARS-CoV-2-Related Acute Necrotizing Encephalopathy of Childhood With Good Response to Tocilizumab in an AdolescentJasmine H.Y. Ho,Cheryl Y.M. Lee,Yee Keow Chiong,…Li Jia Fan,Amos H.S. Tan,Velda X. HanPublished online: November 25, 2022p65-69Full-Text HTMLPDF Clinical LetterParoxysmal Tonic Upgaze in a Patient With Congenital Ataxia due to a De Novo Missense…

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