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Intragastric Botulinum Toxin Injection and Botulism: An Alarm for Clinicians Publisher



Mojtahedzadeh M1 ; Najmeddin F1 ; Pourheidar E2 ; Najafi A3 ; Bahman R4 ; Yousefimazhin E1 ; Karballaeimirzahosseini H1 ; Hassanpour R1
Authors

Source: Case Reports in Critical Care Published:2024


Abstract

Clostridium botulinum produces the most potent bacterial toxin, botulinum toxin A (BTXA), which has various therapeutic and cosmetic indications. Intragastric BTXA injection is a new obesity treatment method that was argued to be safe due to the inactivation of BTXA through the liver or metabolization within the gastric wall. However, a 36-year-old woman was admitted to the intensive care unit (ICU) due to developing botulism as a result of an intragastric injection of BTXA. The diplopia, headaches, ptosis, decreased muscle force, and respiratory distress two days after injection were her first chief complaints, and also, she experienced significant dysphagia, hoarse voice, thick tongue, constipation, hyposmia, and hypogeusia after two weeks. This case report highlights the necessity for physicians to have sufficient information about this method and consider possible life-threatening adverse effects including botulism. © 2024 Mojtaba Mojtahedzadeh et al.