Run Time: 2 minutes
Author: Michael Hunt M.D.
- The first case of skin botulism from the use of black tar heroin in Colorado was documented in July of 2016.
- Botulism is most deadly toxin known to man and originates from the genus of tetanus and difficile – Clostridium botulinum.
- Characteristics of botulinum, bulbar palsies of the cranial nerves causes a descending paralysis from the head down.
- Neurologic symptoms start as decreased facial sensation, EOMI problems, difficulty controlling airway, skeletal muscle dysfunction, and diaphragm dysfunction.
- Patients with botulism from heroin use need to be admitted to the ICU. Treatment includes airway support and management, then administration of the antitoxin from the CDC.