Botulism1and2

Författare/Upphovsman:

Herbert L. Fred, MD and Hendrik A. van Dijk

Tillskrivning:

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Kreditera:

http://cnx.org/content/m14960/latest/

Kort länk:

https://sewiki.info/b/36d96

Källa:

Wikimedia Commons

Upplösning:

935 x 705 Pixel (162011 Bytes)

Beskrivning:

Five days after sustaining a compound fracture of his right arm, this 14-year-old boy noticed that he had blurred vision. Four days later, he could not swallow, move his lips, or protrude his tongue. Other findings included bilateral total ophthalmoplegia with ptosis (left) and dilated, fixed pupils (right). His mental status and sensory examination were normal. When symmetric, descending cranial nerve paralysis develops four to 14 days after an open injury and spares mental and sensory function, think of wound botulism. In this patient, culture of serosanguineous fluid from the fracture site grew Clostridium botulinum.

Licens:

CC BY 2.0

Begränsningar:

personality

Licensvillkor:

Creative Commons Attribution 2.0