Chang Gregory Youngnam, Ganguly Gautam
Department of Neurology, University of Southern California, Los Angeles, Calif 91208, USA.
Eur Neurol. 2003;49(3):151-3. doi: 10.1159/000069073.
Wound botulism in 7 heroin 'skin poppers' produced ophthalmoplegia and descending paralysis. Rapid recovery occurred in 2 who received the antitoxin within the fourth day of symptom onset. A poor outcome was seen in 4 who received the antitoxin after the eighth day of symptoms and 1 who did not receive the antitoxin. Early antitoxin administration is important in achieving a favorable outcome.
7名海洛因“皮肤注射者”发生创伤性肉毒中毒，出现眼肌麻痹和下行性麻痹。2名在症状出现后第4天内接受抗毒素治疗的患者迅速康复。4名在症状出现第8天后接受抗毒素治疗的患者和1名未接受抗毒素治疗的患者预后较差。早期给予抗毒素对于取得良好预后很重要。
