Early antitoxin treatment in wound botulism results in better outcome

被引:32
作者
Chang, GY [1 ]
Ganguly [1 ]
机构
[1] Univ So Calif, Dept Neurol, Los Angeles, CA 90089 USA
关键词
wound botulism; heroin abuse; subcutaneous abscess; antitoxin;
D O I
10.1159/000069073
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Wound botulism in 7 heroin 'skin poppers' produced ophthalmoplegia and descending paralysis. Rapid recovery occurred in 2 who received the antitoxin within the fourth day of symptom onset. A poor outcome was seen in 4 who received the antitoxin after the eighth day of symptoms and 1 who did not receive the antitoxin. Early antitoxin administration is important in achieving a favorable outcome. Copyright (C) 2003 S. Karger AG, Basel.
引用
收藏
页码:151 / 153
页数:3
相关论文
共 12 条
[1]
*CDCP NAT CTR INF, 1998, BOT US 1899 1996 HDB
[2]
BOTULISM [J].
GOODE, GB ;
SHEARN, DL .
ARCHIVES OF NEUROLOGY, 1982, 39 (01) :55-55
[3]
WOUND BOTULISM [J].
HIKES, DC ;
MANOLI, A .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1981, 21 (01) :68-71
[4]
Horowitz BZ, 1998, JAMA-J AM MED ASSOC, V280, P1479
[5]
Kerner J., 1820, NEUE BEOBACHTUNGEN W
[6]
BOTULISM ASSOCIATED WITH CLOSTRIDIUM-BOTULINUM SINUSITIS AFTER INTRANASAL COCAINE ABUSE [J].
KUDROW, DB ;
HENRY, DA ;
HAAKE, DA ;
MARSHALL, G ;
MATHISEN, GE .
ANNALS OF INTERNAL MEDICINE, 1988, 109 (12) :984-985
[7]
Maselli RA, 1997, MUSCLE NERVE, V20, P1284, DOI 10.1002/(SICI)1097-4598(199710)20:10<1284::AID-MUS11>3.0.CO
[8]
2-3
[9]
Wound botulism associated with black tar heroin among injecting drug users [J].
Passaro, DJ ;
Werner, SB ;
McGee, J ;
Mac Kenzie, WR ;
Vugia, DJ .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 279 (11) :859-863
[10]
Clinical predictors of respiratory failure and long-term outcome in black tar heroin-associated wound botulism [J].
Sandrock, CE ;
Murin, S .
CHEST, 2001, 120 (02) :562-566