infant botulism due to c. butyricum type e toxin: a novel environmental association with pet terrapins. | we describe two cases of infant botulism due to clostridium butyricum producing botulinum type e neurotoxin (bont/e) and a previously unreported environmental source. the infants presented at age 11 days with poor feeding and lethargy, hypotonia, dilated pupils and absent reflexes. faecal samples were positive for c. butyricum bont/e. the infants recovered after treatment including botulism immune globulin intravenous (big-iv). c. butyricum bont/e was isolated from water from tanks housing pet ' ... | 2015 | 25306863 |