Abstract
Wound Botulism in Injection Drug Users
Highlights
To the Editor: Infections are the most frequent and serious wound complications in injection drug users (IDUs)
Wound botulism is primarily caused by Clostridium botulinum [1] and was first observed in IDUs in New York in 1982 [2]
During the 1990s, wound botulism cases among IDUs increased in the United States in conjunction with the use of black-tar heroin [3]
Summary
To the Editor: Infections are the most frequent and serious wound complications in injection drug users (IDUs). Wound botulism is primarily caused by Clostridium botulinum [1] and was first observed in IDUs in New York in 1982 [2]. Treatment of patients included administration of trivalent A, B, and E antitoxin; antimicrobial drugs such as penicillin G or mezlocillin with metronidazole; and surgical drainage of any existing abscesses. Patient 1, a 31-year-old female IDU, had multiple abscesses on both legs.
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