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Published on: November 1, 2013
A Case of Localized, Unilateral (Cephalic) Wound Botulism
Kara Jacobs Slifka1,2, Jo Ann Harris3, Von Nguyen1,2
1Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia.
Abstract:
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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