Image: Botulism1and2
Description: Five days after sustaining a compound fracture of his right arm, this 14-year-old boy noticed that he had blurred vision. Four days later, he could not swallow, move his lips, or protrude his tongue. Other findings included bilateral total ophthalmoplegia with ptosis (left) and dilated, fixed pupils (right). His mental status and sensory examination were normal. When symmetric, descending cranial nerve paralysis develops four to 14 days after an open injury and spares mental and sensory function, think of wound botulism. In this patient, culture of serosanguineous fluid from the fracture site grew Clostridium botulinum.
Title: Botulism1and2
Credit: http://cnx.org/content/m14960/latest/
Author: Herbert L. Fred, MD and Hendrik A. van Dijk
Usage Terms: Creative Commons Attribution 2.0
License: CC BY 2.0
License Link: https://creativecommons.org/licenses/by/2.0
Attribution Required?: Yes
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