Miller N R, Moses H
Arch Ophthalmol. 1977 Oct;95(10):1788-9. doi: 10.1001/archopht.1977.04450100090008.
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.
一名7岁女孩在右肱骨髁上复合骨折6天后出现双侧上睑下垂、完全性眼肌麻痹、固定性散大瞳孔，并伴有延髓麻痹和全身无力。神经传导研究显示重复神经刺激后肌肉动作电位增强。血培养阴性。尽管伤口部位看起来未感染，但仍对伤口进行了探查。从伤口深处采集的培养物中培养出了B型肉毒杆菌。患者在支持治疗下完全康复，急性期出现的脑电图异常也消失了。
