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Letters |

Wound Botulism Associated With Black Tar Heroin

B. Zane Horowitz, MD; Emilie Swensen, RN, CSPI; Kathy Marquardt, PharmD, ABAT
JAMA. 1998;280(17):1479-1480. doi:10-1001/pubs.JAMA-ISSN-0098-7484-280-17-jbk1104.
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To the Editor.—The 1994-1996 outbreak of WB in California has been linked to skin-popping BTH.1 We consulted with 7 of these patients, 4 of whom had presentations with unilateral cranial nerve findings, considered atypical of classic WB.

Passaro  DJWerner  SBMcGee  JMac Kenzie  WRVugia  DJ Wound botulism associated with black tar heroin among injecting drug users. JAMA. 1998;279859- 863
Link to Article[[XSLOpenURL/10.1001/jama.279.11.859]]
Centers for Disease Control and Prevention, Wound botulism—California, 1995. MMWR Morb Mortal Wkly Rep. 1995;44889- 892
Swedberg  JWendel  THDeiss  F Wound botulism. West J Med. 1987;147335- 338
Rapoport  SWatkins  PB Descending paralysis resulting from occult wound botulism. Ann Neurol. 1984;16359- 361
Link to Article[[XSLOpenURL/10.1002/(ISSN)1531-8249]]
Mac Donald  KLRutherford  GWFreldman  SM  et al.  Botulism and botulism-like illness in chronic drug abusers. Ann Intern Med. 1985;102616- 618
Link to Article[[XSLOpenURL/10.7326/0003-4819-102-5-616]]

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