01666nas a2200229   4500000000100000008004100001260001200042653002400054653001800078653001500096653001900111100001300130700001100143700001200154700001400166245016300180856007800343300001000421490000700431520098400438022001401422       2026                            d  c04/202610abotulinum antitoxin10araw goat skin10aSnake bite10awound botulism1 aRasikh A1 aAram M1 aNoory A1 aSarwary A00aWound Botulism Complicating a Snake Bite Wound Following Traditional Application of Raw Goat Skin Successfully Treated with Botulinum Antitoxin: A Case Report  uhttps://pmc.ncbi.nlm.nih.gov/articles/PMC13070400/pdf/IMCRJ-19-594853.pdf  a1 - 50 v193 a<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>  a1179-142X