Wound botulism caused by Clostridium subterminale after a heroin injection

Wound botulism caused by Clostridium subterminale after a heroin injection

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Botulism is caused by toxin production from many species of Clostridium, most commonly Clostridium botulinum as well as C.baratii and C.butyricum.

Development of wound botulism is associated with injection drug users but has also been described in traumatic injuries with Travel exposure to soil.A patient presented to the emergency department with a complaint of descending, progressive weakness.He recently reported skin popping with heroin injections.

Heptavalent botulinum antitoxin was obtained from the [Center for Disease Control and Prevention (CDC)].On hospital day seven, the anaerobic wound cultures resulted AEG L7WC8632BI Built in Washer Dryer 8kg/4kg with growth of Clostridium subterminale.