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Case Reports
. 2017 Dec 27;66(suppl_1):S95-S98.
doi: 10.1093/cid/cix828.

A Case of Localized, Unilateral (Cephalic) Wound Botulism

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Case Reports

A Case of Localized, Unilateral (Cephalic) Wound Botulism

Kara Jacobs Slifka et al. Clin Infect Dis. .

Abstract

We describe a rare presentation of botulism originally presenting with exclusively unilateral cranial nerve deficits following a puncture wound to the face. Cephalic tetanus was initially suspected but laboratory testing confirmed botulism. Botulism caused by local diffusion of toxin from a contaminated head wound can be confused with cephalic tetanus.

Keywords: cephalic tetanus; unilateral cranial nerve palsy; wound botulism.

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