CASES OF FOODBORNE BOTULISM FROM CANNED INDUSTRIAL PRODUCTS

The study presents cases of late diagnosis of foodborne botulism in a family in the Naryn region of the Kyrgyz Republic.All patients (7 people) who applied for medical help after consuming the Adjika developed botulism.The intoxication, asthenovegetative, and bulbar syndromes were present in all patients (100%).The most common symptoms were ophthalmoplegia (85.7%) and gastrointestinal symptoms with myoneuroplegia (71.5%).Acute respiratory failure developed in patients with severe and extremely severe course (28.5%).In two severe cases (one adult with fatal outcome and one child), doctors failed to diagnose botulism early, leading to delayed administration of anti-botulinum serum and worsened prognosis.These findings emphasize the importance of increased awareness among doctors of all specialties about botulism, especially in cases with characteristic history and symptom complex.The favorable outcome in most patients with moderate forms of botulism, despite late diagnosis, emphasizes the effectiveness of timely detoxification therapy and the use of antiserum, even in advanced stages of the disease.Therefore, the results of this study emphasize the critical role of early identification, thorough epidemiological investigation, and prompt administration of specific antitoxin in determining the prognosis of botulism.This data can serve as a basis for developing regional clinical recommendations and algorithms for the management of botulism cases, especially during group outbreaks.