A Case of a 34-Year-Old Female with Acute Hypoxemic Respiratory Failure and Proximal Muscle Weakness

Wound associated botulism is an unusual presentation. Early detection of this potentially life-threatening illness can significantly shorten length of hospital stay and improve prognosis. We present a case of a 34-year-old female with a history of heroin abuse who presented to the ED with acute resp...

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Detalles Bibliográficos
Autores principales: Diaz, Alex, Sharma, Surit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5749215/
https://www.ncbi.nlm.nih.gov/pubmed/29410923
http://dx.doi.org/10.1155/2017/7941715
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author Diaz, Alex
Sharma, Surit
author_facet Diaz, Alex
Sharma, Surit
author_sort Diaz, Alex
collection PubMed
description Wound associated botulism is an unusual presentation. Early detection of this potentially life-threatening illness can significantly shorten length of hospital stay and improve prognosis. We present a case of a 34-year-old female with a history of heroin abuse who presented to the ED with acute respiratory failure, diplopia, and proximal muscle weakness. There was early concern for wound botulism as the instigating process. After discussion with the CDC, she was given equine serum heptavalent botulism antitoxin. Laboratory analysis later confirmed our suspicion. Symptoms improved and the patient was liberated from mechanical ventilation on day 14 and discharged from the hospital on day 23.
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spelling pubmed-57492152018-02-06 A Case of a 34-Year-Old Female with Acute Hypoxemic Respiratory Failure and Proximal Muscle Weakness Diaz, Alex Sharma, Surit Case Rep Crit Care Case Report Wound associated botulism is an unusual presentation. Early detection of this potentially life-threatening illness can significantly shorten length of hospital stay and improve prognosis. We present a case of a 34-year-old female with a history of heroin abuse who presented to the ED with acute respiratory failure, diplopia, and proximal muscle weakness. There was early concern for wound botulism as the instigating process. After discussion with the CDC, she was given equine serum heptavalent botulism antitoxin. Laboratory analysis later confirmed our suspicion. Symptoms improved and the patient was liberated from mechanical ventilation on day 14 and discharged from the hospital on day 23. Hindawi 2017 2017-12-19 /pmc/articles/PMC5749215/ /pubmed/29410923 http://dx.doi.org/10.1155/2017/7941715 Text en Copyright © 2017 Alex Diaz and Surit Sharma. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Diaz, Alex
Sharma, Surit
A Case of a 34-Year-Old Female with Acute Hypoxemic Respiratory Failure and Proximal Muscle Weakness
title A Case of a 34-Year-Old Female with Acute Hypoxemic Respiratory Failure and Proximal Muscle Weakness
title_full A Case of a 34-Year-Old Female with Acute Hypoxemic Respiratory Failure and Proximal Muscle Weakness
title_fullStr A Case of a 34-Year-Old Female with Acute Hypoxemic Respiratory Failure and Proximal Muscle Weakness
title_full_unstemmed A Case of a 34-Year-Old Female with Acute Hypoxemic Respiratory Failure and Proximal Muscle Weakness
title_short A Case of a 34-Year-Old Female with Acute Hypoxemic Respiratory Failure and Proximal Muscle Weakness
title_sort case of a 34-year-old female with acute hypoxemic respiratory failure and proximal muscle weakness
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5749215/
https://www.ncbi.nlm.nih.gov/pubmed/29410923
http://dx.doi.org/10.1155/2017/7941715
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