Background and aims: We examined the neurological manifestations, treatment and outcomes of a subset of 25 patients within the largest ever outbreak of wound botulism in Europe. Methods and results: All 25 cases were intravenous drug users. The most common presenting symptom was dysarthria in 19/25 (76%), followed by dysphagia in 12/25 (48%), blurred vision in 10/25 (40%) and double vision in 8/25 (32%). Microbiological analysis confirmed the diagnosis in nine cases (36%). Duration of admission positively correlated with time to antitoxin, time to wound debridement and female sex. Conclusion: As the outbreak continued, hospital stays shortened, reflecting growing awareness of the outbreak and quicker treatment initiation.
Bibliographical notePublisher Copyright:
© The Author(s) 2017.
- Wound botulism