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  Vol. 95 No. 10, October 1977 TABLE OF CONTENTS
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Ocular Involvement in Wound Botulism

Neil R. Miller, MD; Howard Moses, MD

Arch Ophthalmol. 1977;95(10):1788-1789.


Abstract

• A 7-year-old girl developed bilateral ptosis, total ophthalmoplegia, and fixed, dilated pupils associated with bulbar paralysis and generalized weakness six days after she sustained a compound supracondylar fracture of the right humerus. Nerve conduction studies showed a facilitated muscle action potential after repetitive nerve stimulation. Blood cultures were negative. Although the wound site appeared noninfected, the wound was explored. Clostridium botulinum, type B, grew from cultures taken from the depths of the wound. The patient recovered fully with supportive care, and EEG abnormalities present during the acute phase of the illness disappeared.

(Arch Ophthalmol 95:1788-1789, 1977)



Author Affiliations

From the Neuro-Ophthalmology Unit, Wilmer Ophthalmological Institute, and the Department of Neurology, Johns Hopkins Hospital, Baltimore. Reprint requests to Wilmer Institute, Johns Hopkins Hospital, 601 N Broadway, Baltimore, MD 21205 (Dr Miller).


Footnotes

Accepted for publication Feb 23, 1977.



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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Wound Botulism in Pediatrics
Keller et al.
Arch Pediatr Adolesc Med 1982;136:320-322.
ABSTRACT  





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