Systemic Botulism Toxicity Caused by Pyloric Botox Injection to Treat Gastroparesis

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Abstract

Systemic botulism resulting from therapeutic Botox (OnabotulinumtoxinA) injection has been rarely reported, and never in the context of pylorus injection to treat gastroparesis. We report the case of a 27-year-old female with Emery-Dreifuss muscular dystrophy who developed severe systemic botulism toxicity following the intrapyloric injection of 100 units of Botox to treat gastroparesis. The patient eventually made a full recovery.

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Bensen, G. P., Rutherford, C. C., & Gardner, T. B. (2020). Systemic Botulism Toxicity Caused by Pyloric Botox Injection to Treat Gastroparesis. Case Reports in Gastroenterology, 14(2), 373–376. https://doi.org/10.1159/000508854

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