Botulism surgery

Botulism Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2], Hafiz M. Ahmed, M.D.[3]

Overview

Management of botulism primarily involves antitoxin and supportive care. In wound botulism, treatment of the toxin-producing wound generally centers on debridement, with management individualized to the patient's clinical circumstances.

Surgery

Wound debridement

Wound botulism results from colonization of an anaerobic wound by toxin-producing clostridia. Management of the wound generally centers on debridement, with the treatment approach determined by the individual clinical situation. Patients also require prompt antitoxin treatment and supportive care, including respiratory support when necessary.

Neuromuscular blocking agents

Neuromuscular blocking agents can add to paralysis and should be avoided when possible or used only after careful consideration and with appropriate monitoring.