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What is An 18-year-old male presented with acute onset descending paralysis of 3 days duration. There is also history of blurring of vision for the same duration. On examination, the patient has quadriparesis with areflexia. Both the pupils are non-reactive. The most probably diagnosis is: and explain in detail?
Ans. is 'b' i.e., Botulism(Ref: Harrison, 18th/e, p. 1201 and 17th/e, p. 901)* Acute descending paralysis, are areflexia, blurring of vision and non-reactive pupils suggest the diagnosis of botulism.* Diphtheria, polio and porphyria do not present with non-reactive pupil.