Abstract
Botulism developed in a patient following surgical repair of an open radial fracture. Symptoms resolved after treatment with antitoxin and antibiotics, and hardware excision was deferred. Subsequent osteomyelitis necessitated hardware exchange, and wound cultures grew Clostridium argentinense. This case highlights the management of botulism associated with orthopedic hardware.
MeSH terms
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Adult
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Anti-Bacterial Agents / therapeutic use
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Botulinum Antitoxin / therapeutic use
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Botulism / diagnosis*
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Botulism / microbiology
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Clostridium / isolation & purification*
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Fractures, Bone / complications*
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Fractures, Bone / surgery*
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Fractures, Open / complications*
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Fractures, Open / surgery*
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Humans
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Male
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Osteomyelitis / surgery
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Prosthesis-Related Infections
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Wound Infection / microbiology*
Substances
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Anti-Bacterial Agents
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Botulinum Antitoxin