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- Title
Wound botulism presenting as a deep neck space infection.
- Authors
Gouveia, Christopher; Mookherjee, Somnath; Russell, Matthew S.
- Abstract
Otolaryngologists commonly evaluate patients with findings suspicious for deep space soft tissue infections of the neck. In this case, a woman with a history of injection drug use (IDU) presented with dysphagia, odynophagia, and neck pain. Multiple neck abscesses, too small to drain, were seen on imaging. Despite broad-spectrum intravenous antibiotics, she unexpectedly and rapidly developed respiratory failure requiring intubation. Further work-up diagnosed wound botulism (WB). To our knowledge, this is the first report of WB presenting as a deep neck space infection, and illustrates the importance of considering this deadly diagnosis in patients with IDU history and bulbar symptoms.
- Subjects
BOTULISM; OTOLARYNGOLOGISTS; SOFT tissue infections; NECK diseases; INTRAVENOUS drug abusers; NECK pain; ANTIBIOTICS
- Publication
Laryngoscope, 2012, Vol 122, Issue 12, p2688
- ISSN
0023-852X
- Publication type
Article
- DOI
10.1002/lary.23334