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- Title
Wound botulism.
- Authors
Bhidayasiri, R.; Choi, Y. M.; Nishimura, R.
- Abstract
A 46 year old man presented with a five day history of nausea and vomiting, blurred vision, slurred speech, and generalized weakness. Two days before admission, he developed diplopia and difficulty breathing. He was an intravenous and subcutaneous, that is, "skin popping" user of black tar heroin, and he was positive for hepatitis C. In the intensive care unit, he was conscious and able to obey commands, although intubated. He had bilateral ptosis and almost complete ophthalmoplegia in all directions. Pupils were 4 mm in diameter, responded sluggishly to light. Bilateral facial weakness was observed. He had mild symmetrical proximal weakness, worse on the right. Reflexes were depressed with flexor-plantars.
- Subjects
BOTULISM; WOUNDS &; injuries; SYMPTOMS; HEPATITIS C; EYE paralysis; ASTHENIA; INTRAVENOUS drug abuse; SUBSTANCE abuse; WOUND infections; DISEASE complications
- Publication
Postgraduate Medical Journal, 2004, Vol 80, Issue 942, p240
- ISSN
0032-5473
- Publication type
journal article
- DOI
10.1136/pgmj.2003.011288