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Pulmonary Vascular Disease: Rare Pulmonary Disorders |

Bilateral Vocal Cord Paralysis and Respiratory Failure Secondary to Wound Botulism From Black Tar Heroin

Tyler Larsen, MD; Abigail Maller, MD; Jared Intaphan, MD; Jaime Betancourt, MD; Guy Soo Hoo, MD
Author and Funding Information

West Los Angeles VA Medical Center, Los Angeles, CA


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):1200A. doi:10.1016/j.chest.2016.08.1309
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SESSION TITLE: Rare Pulmonary Disorders

SESSION TYPE: Student/Resident Case Report Slide

PRESENTED ON: Monday, October 24, 2016 at 11:00 AM - 12:00 PM

INTRODUCTION: Botulism is a rare form of neuromuscular junction (NMJ) paralysis caused by one of eight distinct toxins produced by the bacterium Clostridium botulinum. Typically associated with infants and poorly preserved foods, botulism may be acquired via gastrointestinal absorption, wound infections, airborne inhalation or iatrogenic causes. We report a case of life-threatening wound botulism following injection of black tar heroin initially presenting with isolated bilateral vocal cord paralysis.

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