Open Tibial Fracture Complicated by Wound Botulism: A Case Study |
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| Authors: | Zach Beth David Hahn Bryan Kramer Conrad Tirre Dustin Kruse Paul A Stone |
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| Institution: | 1. Second Year Resident, Highlands-Presbyterian/St. Luke''s Podiatric Medicine and Surgery Residency Program, 1719 East 19th Avenue #520, Denver, CO 80218;2. Orthopedic Surgeon Attending, Highlands-Presbyterian/St. Luke''s Podiatric Medicine and Surgery Residency Program, 1601 E 19th Ave #3300, Denver, CO 80218;3. Vascular Surgeon Attending, Highlands-Presbyterian/St. Luke''s Podiatric Medicine and Surgery Residency Program, 1601 East 19th Ave Ste 3950, Denver, CO 80218;4. Plastic Surgeon Attending, Highlands-Presbyterian/St. Luke''s Podiatric Medicine and Surgery Residency Program, 2535 S Downing St #440, Denver, CO 80210;5. Director of Research, Highlands-Presbyterian/St. Luke''s Podiatric Medicine and Surgery Residency Program, 1719 East 19th Avenue #520, Denver, CO 80218;6. Residency Director, Highlands-Presbyterian/St. Luke''s Podiatric Medicine and Surgery Residency Program, 1719 East 19th Avenue #520, Denver, CO 80218 |
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| Abstract: | Botulism is a neuroparalytic disease most commonly caused by foodborne ingestion of neurotoxin types A, B, and E, and is often fatal if untreated. Clinicians should be able to recognize the classic symptoms of botulinum intoxication (12). Owing to its rarity, there are a limited number of studies evaluating the clinical care of patients with wound botulism (10). We present an infected tibial non-union with botulism who underwent a successful radical excision and bone transport. The patient tolerated the procedure well. |
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