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
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Kudrow DB, Henry DA, Haake DA, Marshall G, Mathisen GE. Botulism Associated with Clostridium botulinum Sinusitis after Intranasal Cocaine Abuse. Ann Intern Med. 1988;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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