Keller M A, Miller V H, Berkowitz C D, Yoshimori R N
Am J Dis Child. 1982 Apr;136(4):320-2. doi: 10.1001/archpedi.1982.03970400038012.
A 6-year-old boy with congenital deafness sustained compound fractures to his left ulna and radius. Six days after the injury, he appeared lethargic, and his illness progressed to respiratory failure within three days. Although the wound at the fracture site appeared benign, cultures obtained when the wound was opened grew Clostridium botulinum, type B. Both the patient's deafness and the appearance of his wound contributed to the delay in diagnosis of wound botulism. Differential diagnosis and treatment of this rare entity are discussed.
一名患有先天性耳聋的6岁男孩左侧尺骨和桡骨发生复合性骨折。受伤6天后，他出现嗜睡，三天内病情发展为呼吸衰竭。尽管骨折部位的伤口看似正常，但伤口切开时获取的培养物培养出了B型肉毒杆菌。患者的耳聋以及伤口的外观都导致了伤口型肉毒中毒诊断的延迟。本文讨论了这种罕见病症的鉴别诊断和治疗方法。
