Botulismo

Pró-Fono Revista de Atualização Científica, v. 19, n. 2, abr.-jun. 2007

Botulismo e disfagia***
Botulism and dysphagia

Laura Davison Mangilli*
Claudia Regina Furquim de Andrade**

*Fonoaudióloga. Mestranda do
Programa de Pós-Graduação em
Ciências da Reabilitação da Faculdade de Medicina da Universidade de São
Paulo. Endereço para correspondência: Rua Cipotânia, 51 Campus Cidade Universitária - São
Paulo - SP - CEP 05360-160
([e-mail]).
**Fonoaudióloga. Professora Titular do Departamento de Fisioterapia,
Fonoaudiologia e Terapia Ocupacional da Faculdade de Medicina da
Universidade de São Paulo.
***Trabalho Realizado no Laboratório de Investigação Fonoaudiológica da
Fluência, Motricidade e Funções
Orofaciais da Faculdade de Medicina da
Universidade de São Paulo.

Artigo de Relato de Caso

Abstract
Background: botulism is a severe neuroparalytic, of an acute characteristic, afebrile and is caused by the action of a toxin produced by Clostridium botulinum. This toxin links itself to the receptors of the axon membrane of the motor neurons, preventing the release of acetylcholine in the neuromuscular junction, causing flaccid paralysis of the cranial nerves and skeleton musculature. Aim: to present the speech therapy procedures adopted with a patient with botulism and who was presenting dysphagia.
Method: a male adult, with botulism, sent for a speech-language evaluation due to the presence of difficulties when swallowing saliva. During the evaluation the following was observed: alteration in mobility, tonicity and sensibility of the organs of the Orofacial Myofunctional System (OMSs); reduction of the laryngeal movements; stasis of saliva in the oral cavity; absence of the swallowing reflex; absence of the swallowing function. Nine speech therapy sessions were carried out with the following procedures: stimulation of the OMSs - mobility, tonicity and sensibility; stimulation of the oral and pharyngeal reflexes; tests and trainings for swallowing