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Postgrad Med J 80:240 doi:10.1136/pgmj.2003.011288
  • Images in medicine

Wound botulism

  1. R Bhidayasiri,
  2. Y M Choi,
  3. R Nishimura
  1. Department of Neurology, UCLA Medical Center, UCLA School of Medicine, California, USA
  1. Correspondence to:
 Dr R Bhidayasiri
 Department of Neurology, Reed Neurological Research Institute, UCLA Medical Center, 710 Westwood Plaza, Los Angeles, CA 90095, USA; rbhucla.edu

    A 46 year old man presented with a five day history of nausea and vomiting, blurred vision, slurred speech, and generalised weakness. Two days before admission, he developed diplopia and difficulty breathing. He was an intravenous and subcutaneous, that is, “skin popping” user of black tar heroin, and he was positive for hepatitis C. In the intensive care unit, he was …