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{
    "pk": 946,
    "title": "Dysphagia Alone as a Unique Presentation of Wound Botulism in the Emergency Department: A Case Report",
    "subtitle": null,
    "abstract": "Introduction: \nWound botulism is a rare and potentially fatal infectious disease, often seen in patients who abuse injection drugs. It classically presents with dysfunction of bilateral cranial nerves followed by proximal and distal motor weakness, which can progress to respiratory failure.\nCase Report:\n We report a case of a 31-year-old female who presented to the emergency department for the fifth time with an eight-day history of isolated dysphagia without any other neurologic symptoms. She reported a history of injection drug abuse via “skin popping,” was admitted to the hospital, and ultimately diagnosed with wound botulism.\nConclusion: \nThis case exemplifies the diagnostic pitfalls of rare diseases such as wound botulism and provides insight regarding the diagnosis and treatment of this entity. This case also highlights the unique medical and social challenges emergency physicians face while trying to reliably evaluate patients who abuse controlled substances.",
    "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": [
        {
            "word": "Wound"
        },
        {
            "word": "botulism"
        },
        {
            "word": "dysphagia"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4v3737h0",
    "frozenauthors": [
        {
            "first_name": "Ryan",
            "middle_name": "H.",
            "last_name": "Wyatt",
            "name_suffix": "",
            "institution": "Valleywise Health Medical Center, Department of Emergency Medicine, Phoenix, Arizona",
            "department": "None"
        },
        {
            "first_name": "Eytan",
            "middle_name": "",
            "last_name": "Shtull-Leber",
            "name_suffix": "",
            "institution": "Valleywise Health Medical Center, Department of Emergency Medicine, Phoenix, Arizona",
            "department": "None"
        },
        {
            "first_name": "Thomas",
            "middle_name": "E.",
            "last_name": "Kelly",
            "name_suffix": "",
            "institution": "Valleywise Health Medical Center, Department of Emergency Medicine, Phoenix, Arizona",
            "department": "None"
        }
    ],
    "date_submitted": "2020-10-20T23:42:48+01:00",
    "date_accepted": "2020-10-20T23:42:48+01:00",
    "date_published": "2020-10-20T23:43:29+01:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/946/galley/694/download/"
        }
    ]
}