Clinical Autonomic Research

, Volume 13, Issue 5, pp 337–338 | Cite as

Botulism type B presenting as pure autonomic dysfunction



Botulism nowadays is a rare mostly food-borne disease caused by the toxin of Clostridium botulinum. On the other hand, botulinum toxin blocking cholinergic transmission has become a most powerful treatment option for many focal movement disorders and is increasingly used to treat autonomic disorders [2, 7, 8]. Although muscle weakness is the hallmark of botulism, autonomic dysfunction may be the leading clinical symptom in rare cases and should be included in the differential diagnosis of pure dysautonomia. Here, we describe a patient with autonomic dysfunction as the leading symptom of botulism type B.

Key words

botulism type B erectile dysfunction pure autonomic dysfunction 

Copyright information

© Steinkopff Verlag 2003

Authors and Affiliations

  1. 1.Dept. of NeurologyUniversity of WürzburgWürzburgGermany
  2. 2.Institute of ToxicologyHannover Medical SchoolHannoverGermany
  3. 3.Neurologische UniversitätsklinikWürzburgGermany

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