Presented at the Combined Otolaryngological Spring Meetings (COSM), San Diego, California, U.S.A., April 18–22, 2012.
Article first published online: 29 MAY 2012
Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 122, Issue 12, pages 2688–2689, December 2012
How to Cite
Gouveia, C., Mookherjee, S. and Russell, M. S. (2012), Wound botulism presenting as a deep neck space infection. The Laryngoscope, 122: 2688–2689. doi: 10.1002/lary.23334
The authors have no funding, financial relationships, or conflicts of interest to disclose.
- Issue published online: 11 DEC 2012
- Article first published online: 29 MAY 2012
- Accepted manuscript online: 5 APR 2012 04:56AM EST
- Manuscript Accepted: 8 MAR 2012
- Manuscript Revised: 1 MAR 2012
- Manuscript Received: 6 FEB 2012
- Wound botulism;
- deep neck space infection;
Otolaryngologists commonly evaluate patients with findings suspicious for deep space soft tissue infections of the neck. In this case, a woman with a history of injection drug use (IDU) presented with dysphagia, odynophagia, and neck pain. Multiple neck abscesses, too small to drain, were seen on imaging. Despite broad-spectrum intravenous antibiotics, she unexpectedly and rapidly developed respiratory failure requiring intubation. Further work-up diagnosed wound botulism (WB). To our knowledge, this is the first report of WB presenting as a deep neck space infection, and illustrates the importance of considering this deadly diagnosis in patients with IDU history and bulbar symptoms.