• Ir J Med Sci · Jul 2003

    Case Reports

    Botulism as a cause of respiratory failure in injecting drug users.

    • S FitzGerald, R Lyons, J Ryan, W Hall, and C Gallagher.
    • Department of Microbiology, St Vincent's University Hospital, Dublin, Ireland.
    • Ir J Med Sci. 2003 Jul 1; 172 (3): 143144143-4.

    BackgroundWound botulism occurs as a consequence of inoculation of Clostridium botulinum spores into a wound.AimTo describe such a case of wound botulism.ResultsA 23-year-old drug-injecting user presented with bulbar symptoms and progressive signs over a three-day period. The diagnosis of botulism was suspected and was treated with large doses of penicillin and botulinum antitoxin. The diagnosis was confirmed by the presence of serum botulinum toxin A.ConclusionPhysicians should be aware of the association of botulism in injecting drug users, particularly in Ireland.

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