@article{103594,
  keywords = {botulinum antitoxin, raw goat skin, Snake bite, wound botulism},
  author = {Rasikh A and Aram M and Noory A and Sarwary A},
  title = {Wound Botulism Complicating a Snake Bite Wound Following Traditional Application of Raw Goat Skin Successfully Treated with Botulinum Antitoxin: A Case Report},
  abstract = {<p>Wound botulism is a rare, life-threatening neuroparalytic disease caused by neurotoxins produced by  in contaminated wounds. Traditional wound care practices, such as applying animal products, may increase the risk. We report the case of a 35-year-old woman from Afghanistan who presented with progressive descending neurological deficits, including bilateral ptosis, blurred vision, diplopia, nasal speech, dysphagia, and respiratory distress. Symptoms began nine months after a snake bite to the left lower leg that evolved into chronic non-healing calf ulcers. Traditional treatment involved direct application of raw goat skin obtained from a slaughterhouse, likely introducing  spores into the wound. Clinical findings supported a diagnosis of wound botulism, although microbiological confirmation was unavailable due to resource limitations. Botulinum antitoxin, procured with delay through the World Health Organization, led to the patient's near-complete recovery.</p>},
  year = {2026},
  journal = {International medical case reports journal},
  volume = {19},
  pages = {1 - 5},
  month = {04/2026},
  issn = {1179-142X},
  url = {https://pmc.ncbi.nlm.nih.gov/articles/PMC13070400/pdf/IMCRJ-19-594853.pdf},
  doi = {10.2147/IMCRJ.S594853},
  language = {ENG},
}