Descending paralysis resulting from occult wound botulism.

Abstract:

:A 30-year-old male drug abuser developed ophthalmoplegia, bulbar paralysis, and limb weakness responsive to edrophonium. However, potentiation of a low-amplitude evoked muscle action potential was produced with repetitive nerve stimulation at 10 Hz, and the clinical and electrophysiological data suggested the diagnosis of botulism. The source of botulism type B toxin was a clinically obscure cyst produced by subcutaneous infiltration of cocaine two weeks prior to the onset of symptoms. The patient improved with chronic administration of pyridostigmine bromide and plasmapheresis. Wound botulism may be underdiagnosed because of confusion with inflammatory neuropathy or myasthenia gravis. Neuromuscular transmission studies in patients with acute craniosomatic paralysis can prevent such oversights.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Rapoport S,Watkins PB

doi

10.1002/ana.410160314

subject

Has Abstract

pub_date

1984-09-01 00:00:00

pages

359-61

issue

3

eissn

0364-5134

issn

1531-8249

journal_volume

16

pub_type

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