Wound Botulism Caused by Clostridium subterminale after a Heroin Injection
1
Department of Pharmacy, Maricopa Integrated Health System, University of Arizona, Phoenix, AZ, USA
2
Department of EmergencyMedicine, Maricopa Integrated Health System, University of Arizona, Phoenix, AZ, USA
*
Author to whom correspondence should be addressed.
Infect. Dis. Rep. 2018, 10(2), 7654; https://doi.org/10.4081/idr.2018.7654
Submission received: 24 February 2018
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Revised: 4 June 2018
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Accepted: 14 June 2018
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Published: 5 September 2018
Abstract
Botulism is caused by toxin production from many species of Clostridium, most commonly Clostridium botulinum as well as C. baratii and C. butyricum. Development of wound botulism is associated with injection drug users but has also been described in traumatic injuries with exposure to soil. A patient presented to the emergency department with a complaint of descending, progressive weakness. He recently reported skin popping with heroin injections. Heptavalent botulinum antitoxin was obtained from the [Center for Disease Control and Prevention (CDC)]. On hospital day seven, the anaerobic wound cultures resulted with growth of Clostridium subterminale.
Keywords:
Botulism; wound botulism; antitoxin; Clostridium; Clostridium subterminale
Share and Cite
MDPI and ACS Style
Cook, P.A.; Mishler, A.; Quan, D.; Parrish-Garcia, A. Wound Botulism Caused by Clostridium subterminale after a Heroin Injection. Infect. Dis. Rep. 2018, 10, 7654. https://doi.org/10.4081/idr.2018.7654
AMA Style
Cook PA, Mishler A, Quan D, Parrish-Garcia A. Wound Botulism Caused by Clostridium subterminale after a Heroin Injection. Infectious Disease Reports. 2018; 10(2):7654. https://doi.org/10.4081/idr.2018.7654
Chicago/Turabian StyleCook, Paris A., Aimee Mishler, Dan Quan, and Ashley Parrish-Garcia. 2018. "Wound Botulism Caused by Clostridium subterminale after a Heroin Injection" Infectious Disease Reports 10, no. 2: 7654. https://doi.org/10.4081/idr.2018.7654
