Article: Case Study: The Clostridial Connection.

Case Study: The Clostridial Connection

Abstract and Commentary

Synopsis: Physicians in the western United States, where BTH is widely used, should be aware of the potential for WB to occur among IDUs.

Source: Passaro DJ, et al. Wound Botulism Associated With Black Tar Heroin Among Injection Drug Users. JAMA. 1998;279:859-863.

A 46-year-old male presented to a San Jose, California, hospital emergency department with with bilateral diplopia dysphagia, dysphonia, and weakness of his proximal arms. He had been seen in several other medical care facilities over the previous days without diagnosis. The patient regularly self-injected with ...

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