Ocular Involvement in Wound Botulism

Neil R. Miller, Howard Moses

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


A 7-year-old girl developed bilateral ptosis, total ophthalmoplegia, and fixed, dilated pupils associated with bulbar paralysis and generalized weakness six days after she sustained a compound supracondylar fracture of the right humerus. Nerve conduction studies showed a facilitated muscle action potential after repetitive nerve stimulation. Blood cultures were negative. Although the wound site appeared noninfected, the wound was explored. Clostridium botulinum, type B, grew from cultures taken from the depths of the wound. The patient recovered fully with supportive care, and EEG abnormalities present during the acute phase of the illness disappeared.

Original languageEnglish (US)
Pages (from-to)1788-1789
Number of pages2
JournalArchives of ophthalmology
Issue number10
StatePublished - Oct 1977
Externally publishedYes

ASJC Scopus subject areas

  • Ophthalmology


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