David B. Kudrow, MD; Dan A. Henry, MD; David A. Haake, MD; Ginder Marshall, MD; Glenn E. Mathisen, MD
Wound botulism has been identified as a risk of parenteral cocaine abuse (1-3). We report a case of botulism associated with maxillary sinusitis after intranasal cocaine abuse; Clostridium botulinum was subsequently cultured from the maxillary sinus.
A 25-year-old obese man developed headache, diplopia, and disequilibrium one day before admission, followed by dysphonia, dysarthria, dysphagia, increasing weakness, and ataxia. There was a 7-day history of rhinorrhea and sore throat. He had used intranasal cocaine only twice, most recently 10 days earlier, at which time he used one eighth of a gram of cocaine. The cocaine and all food eaten during the
Kudrow DB, Henry DA, Haake DA, Marshall G, Mathisen GE. Botulism Associated with Clostridium botulinum Sinusitis after Intranasal Cocaine Abuse. Ann Intern Med. ;109:984–985. doi: 10.7326/0003-4819-109-12-984
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Published: Ann Intern Med. 1988;109(12):984-985.
Emergency Medicine, Infectious Disease, Neurology.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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