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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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2017/7941715 |
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| _version_ | 1832563814707494912 |
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| author | Alex Diaz Surit Sharma |
| author_facet | Alex Diaz Surit Sharma |
| author_sort | Alex Diaz |
| collection | DOAJ |
| 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. |
| format | Article |
| id | doaj-art-fa66eb47d07e4ef2bdb5b96a933516ac |
| institution | Kabale University |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-fa66eb47d07e4ef2bdb5b96a933516ac2025-02-03T01:12:29ZengWileyCase Reports in Critical Care2090-64202090-64392017-01-01201710.1155/2017/79417157941715A Case of a 34-Year-Old Female with Acute Hypoxemic Respiratory Failure and Proximal Muscle WeaknessAlex Diaz0Surit Sharma1Sky Ridge Medical Center, Denver, CO, USASky Ridge Medical Center, Denver, CO, USAWound 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.http://dx.doi.org/10.1155/2017/7941715 |
| spellingShingle | Alex Diaz Surit Sharma A Case of a 34-Year-Old Female with Acute Hypoxemic Respiratory Failure and Proximal Muscle Weakness Case Reports in Critical Care |
| 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 |
| url | http://dx.doi.org/10.1155/2017/7941715 |
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