What are the typical symptoms of a patient with infant
   botulism?
   The primary symptom is usually constipation (3 or more days
   without a bowel movement).  This is often the first symptom.
   Other symptoms include listlessness, lethargy, difficulty in
   sucking and swallowing, hypotonia, weak cry, poor feeding,
   pooled oral secretions, generalized muscle weakness and poor
   head control, which gives the infant a characteristic floppy
   appearance.
Which is why we do recommend giving honey to infants less than one year of
age.
Botulism spores have been found in Karo syrup but no case of infant botulism
has ever been linked to the use of Karo syrup.
Andrew MD FAAP
General practice pediatrician
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