Abstract
Key Clinical MessageWound botulism is a potentially lethal condition that can cause paralysis. Its association with black tar heroin is a well‐established fact. It is essential to alert clinicians in recognizing the patients with history of injection drug abuse presenting with clinical features of botulism early on admission for prompt diagnosis and treatment.
Highlights
Key Clinical Message Wound botulism is a potentially lethal condition that can cause paralysis
We present 2 cases (48-year-o ld Hispanic Man & 34-year-o ld Hispanic Woman) both with past medical history of heroin abuse was brought to the emergency department with acute respiratory failure, proximal muscle weakness of upper and lower extremity, neck flexor muscle weakness, and diplopia
Multiple areas of visible skin popping, a technique of injecting black tar heroin into extravenous subcutaneous sites are seen on the right and left areas of thigh associated with the development of botulism[1] (Figures 1 and 2)
Summary
Key Clinical Message Wound botulism is a potentially lethal condition that can cause paralysis. KEYWORDS heroin abuse, paralysis, skin popping, trivalent equine antitoxin, wound botulism
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