title: [Simultaneous botulism in two brothers addicted to cocaine].
abstract: BACKGROUND
  Botulism is currently an uncommon disease in which the botulinum toxin causes a progressive muscular paralysis that can lead to the death due to a failure of respiratory muscles.
  
  
  METHODS
  Two brothers, both addicted to cocaine, came to the casualty department because of a decrease of near visual acuity and bilateral mydriasis. Two days later, they developed eyelid ptosis, asymmetric dysfunction of the extraocular muscles and vomiting.
  
  
  CONCLUSIONS
  The presence of a paralysis of accommodation, with bilateral mydriasis that reacts to pilocarpine, makes it necessary to consider botulism as a possible cause.
authors.affiliation: Hospital Universitario San Juan de Alicante, Alicante, Spain. faguir88@hotmail.com
authors.forename: F
authors.initials: F
authors.lastname: Aguirre-Balsalobre
authors.forename: M
authors.initials: M
authors.lastname: González-Herrera
authors.forename: E
authors.initials: E
authors.lastname: Mengual-Verdú
authors.forename: V
authors.initials: V
authors.lastname: García-Conca
authors.forename: J R
authors.initials: JR
authors.lastname: Hueso-Abancens
mesh_terms: D000328:Adult; D001906:Botulism / Q000209:etiology*; D019970:Cocaine-Related Disorders / Q000150:complications*; D006801:Humans; D008297:Male; D015878:Mydriasis / Q000209:etiology*