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{
    "pk": 416,
    "title": "Cranial Neuropathies and Neuromuscular Weakness: A Case of Mistaken Identity",
    "subtitle": null,
    "abstract": "We describe a case of wound botulism initially thought to represent Miller-Fisher variant Guillain-Barré syndrome (MFS). Botulism classically presents with the so-called “four D’s” (diplopia,dysarthria, dysphagia, dry mouth) with symmetric, descending weakness. MFS presents with a triadof limb-ataxia, areflexia, and ophthalmoplegia, with variable cranial nerve and extremity involvement.The distinction can be difficult but is important as early initiation of botulinum antitoxin is associatedwith improved patient outcomes in cases of botulism. Furthermore, it is important to recognizeintravenous drug use as a risk factor in the development of botulism, especially given an increase ininjection drug use.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/3vb623mh",
    "frozenauthors": [
        {
            "first_name": "Daniel",
            "middle_name": "Z.",
            "last_name": "Adams",
            "name_suffix": "",
            "institution": "The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio",
            "department": "None"
        },
        {
            "first_name": "Andrew",
            "middle_name": "",
            "last_name": "King",
            "name_suffix": "",
            "institution": "The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio",
            "department": "None"
        },
        {
            "first_name": "Colin",
            "middle_name": "",
            "last_name": "Kaide",
            "name_suffix": "",
            "institution": "The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio",
            "department": "None"
        }
    ],
    "date_submitted": "2017-07-13T21:46:21+05:30",
    "date_accepted": "2017-07-13T21:46:21+05:30",
    "date_published": "2017-07-14T22:36:17+05:30",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/416/galley/180/download/"
        }
    ]
}