A Case of Localized, Unilateral (Cephalic) Wound Botulism.

Jacobs Slifka, Kara; Harris, Jo Ann; Nguyen, Von; Luquez, Carolina; Tiwari, Tejpratap; Rao, Agam K · Clin Infect Dis · 2017

case_report · Level V

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Abstract

We describe a rare presentation of botulism originally presenting with exclusively unilateral cranial nerve deficits following a puncture wound to the face. Cephalic tetanus was initially suspected but laboratory testing confirmed botulism. Botulism caused by local diffusion of toxin from a contaminated head wound can be confused with cephalic tetanus.

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