Wound botulism.
Wound botulism, a potentially fatal disease, presents with signs and symptoms of food-borne botulism without the gastrointestinal manifestations. All cases have been associated with extremity wounds. The diagnosis is clinical, and aggressive ventilatory support is the cornerstone of successful therapy. A case is reported and the pathophysiology, diagnosis, and treatment are reviewed.
D000328:Adult; D001904:Botulinum Antitoxin / Q000627:therapeutic use; D001906:Botulism / Q000628:therapy; D006801:Humans; D008297:Male; D010406:Penicillins / Q000627:therapeutic use; D012138:Respiratory Therapy; D000070599:Shoulder Injuries; D014946:Wound Infection / Q000209:etiology* / Q000628:therapy; D014948:Wounds, Gunshot / Q000150:complications* / Q000628:therapy
D001904:Botulinum Antitoxin; D010406:Penicillins