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English: Five days after sustaining a compound fracture of his right arm, this 14-year-old boy noticed that he had blurred vision. Four days later, he could not swallow, move his lips, or protrude his tongue. Other findings included bilateral total ophthalmoplegia with ptosis (left) and dilated, fixed pupils (right). His mental status and sensory examination were normal. When symmetric, descending cranial nerve paralysis develops four to 14 days after an open injury and spares mental and sensory function, think of wound botulism. In this patient, culture of serosanguineous fluid from the fracture site grew Clostridium botulinum.
Kelda http://cnx.org/content/m14960/latest/
Høvundur Herbert L. Fred, MD and Hendrik A. van Dijk

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streymur26. nov 2010 kl. 05:00Lítil mynd av versjónini frá 26. nov 2010 kl. 05:00935 × 705 (158 KB)Aavindraacolor
27. okt 2010 kl. 09:21Lítil mynd av versjónini frá 27. okt 2010 kl. 09:21935 × 705 (82 KB)Doc James{{Information |Description={{en|1=Five days after sustaining a compound fracture of his right arm, this 14-year-old boy noticed that he had blurred vision. Four days later, he could not swallow, move his lips, or protrude his tongue. Other findings inc

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