English: Five days after sustaining a compound fracture of his right arm, this 14-year-old boy noticed that he had blurred vision. Four days later, he could not swallow, move his lips, or protrude his tongue. Other findings included bilateral total ophthalmoplegia with ptosis (left) and dilated, fixed pupils (right). His mental status and sensory examination were normal. When symmetric, descending cranial nerve paralysis develops four to 14 days after an open injury and spares mental and sensory function, think of wound botulism. In this patient, culture of serosanguineous fluid from the fracture site grew Clostridium botulinum.
Walon : Cénk djoûs après on laid sketaedje do bresse, ci djonnea cial di 14 ans veyeut bablou. Cwate djoûs pus tård, i n' saveut pus avaler, ni bodjî ses lepes, ni saetchî s' linwe foû del boke. Les deus påpires estént pindantes, li poupåd do droet ouy alårdji. Il esteut normå di s' tiesse et sinteut bén tot. Li clostrideye fourit trovêye dins l' sûnaedje del plåye.
to share – to copy, distribute and transmit the work
to remix – to adapt the work
Under the following conditions:
attribution – You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
https://creativecommons.org/licenses/by/2.0CC BY 2.0 Creative Commons Attribution 2.0 truetrue
Captions
Add a one-line explanation of what this file represents