Wound botulism is a rare, neuromuscular junction disease caused by the most potent neurotoxin known to humankind. Like all forms of Botulism, infection is caused by botulinum neurotoxins (BoNTs) produced by the bacteria Clostridium botulinum, most commonly type A and B. Common scenarios leading to C. botulinum infection are injection drug use ("skin-popping") or contamination of drug material such as black tar heroin with botulinum toxin.
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Moore et al. (2024) studied this question.
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