Severe botulism after focal injection of botulinum toxin

Neurology. 2006 Nov 28;67(10):1855-6. doi: 10.1212/01.wnl.0000244417.34846.b6.

Abstract

We report a 34-year-old woman who developed clinical botulism after the cosmetic use of an unapproved botulinum toxin type A. Electrophysiologic findings demonstrated complete denervation with complete electrical silence. She had a lengthy recovery but was able to ambulate by discharge.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Botulinum Antitoxin / therapeutic use
  • Botulinum Toxins, Type A / administration & dosage
  • Botulinum Toxins, Type A / poisoning*
  • Botulism / chemically induced*
  • Botulism / physiopathology
  • Dose-Response Relationship, Drug
  • Drug Overdose / physiopathology
  • Electromyography
  • Female
  • Humans
  • Internet
  • Malpractice
  • Muscle Weakness / chemically induced
  • Muscle Weakness / diagnosis
  • Muscle Weakness / physiopathology
  • Muscle, Skeletal / drug effects
  • Muscle, Skeletal / physiopathology
  • Neuromuscular Agents / administration & dosage
  • Neuromuscular Agents / poisoning*
  • Neuromuscular Junction / drug effects
  • Neuromuscular Junction / physiopathology
  • Paralysis / chemically induced*
  • Paralysis / physiopathology
  • Quadriplegia / chemically induced
  • Quadriplegia / physiopathology
  • Respiration, Artificial
  • Respiratory Insufficiency / chemically induced
  • Respiratory Insufficiency / physiopathology
  • Self Medication / adverse effects*
  • Skin Aging / drug effects

Substances

  • Botulinum Antitoxin
  • Neuromuscular Agents
  • Botulinum Toxins, Type A