title: Botulism as a cause of respiratory failure in injecting drug users.
abstract: BACKGROUND
  Wound botulism occurs as a consequence of inoculation of Clostridium botulinum spores into a wound.
  
  
  OBJECTIVE
  To describe such a case of wound botulism.
  
  
  RESULTS
  A 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.
  
  
  CONCLUSIONS
  Physicians should be aware of the association of botulism in injecting drug users, particularly in Ireland.
authors.affiliation: Department of Microbiology, St Vincent's University Hospital, Dublin, Ireland.
authors.forename: S
authors.initials: S
authors.lastname: FitzGerald
authors.forename: R
authors.initials: R
authors.lastname: Lyons
authors.forename: J
authors.initials: J
authors.lastname: Ryan
authors.forename: W
authors.initials: W
authors.lastname: Hall
authors.forename: C
authors.initials: C
authors.lastname: Gallagher
mesh_terms: D000328:Adult; D001906:Botulism / Q000188:drug therapy / Q000209:etiology*; D003014:Clostridium botulinum / Q000302:isolation & purification*; D005260:Female; D006801:Humans; D007279:Injections, Subcutaneous / Q000009:adverse effects; D012131:Respiratory Insufficiency / Q000209:etiology*; D015819:Substance Abuse, Intravenous / Q000150:complications*; D014946:Wound Infection / Q000150:complications* / Q000382:microbiology