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Demographic, medical, and nutritional history was utilized to identify common exposures in most situations. Urine and bloodstream specimens were taken up to evaluate for konzo and alternate etiologies. OUTCOMES We identified 32 cases of konzo exclusively affecting young ones 6 to 14 years of age and predominantly females 14 years of age. Fourteen of 15 (93%) cases ≥15 years were female, 11 (73%) of whom had been breastfeeding during the time of symptom ons