Wound botulism occurs when there is contamination of a wound with Clostridium botulinum spores which subsequently germinate and release toxin into the circulation.
People at risk:
(1) outdoorsman (hunter, farmer, other)
(2) soldier
(3) construction worker
(4) injection drug user who practices subcutaneous injections ("skin popping")
(5) chronic cocaine sniffing
(6) woman post-cesarean section
Type of injury:
(1) compound fracture
(2) crush injuries
(3) deep decubital ulcers
(4) nasal or sinus infections (in cocaine sniffers)
(5) subcutaneous abscess
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