Open AccessA Case of Localized, Unilateral (Cephalic) Wound Botulism
Author(s) -
Kara Jacobs Slifka,
Jo Ann Harris,
Von Nguyen,
Carolina Lúquez,
Tejpratap Tiwari,
Agam K. Rao
Publication year - 2017
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cix828
Subject(s) - medicine , botulism , tetanus , presentation (obstetrics) , surgery , anesthesia , pathology , microbiology and biotechnology , vaccination , biology
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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