What are the possible complications of botulism?

Updated: Feb 15, 2019
  • Author: Kirk M Chan-Tack, MD; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Answer

Hospital-acquired pneumonia, especially aspiration pneumonia, can occur. Atelectasis and poor secretion clearance also increase the risk of hospital-acquired pneumonia.

Urinary tract infection can occur from in-dwelling Foley catheters.

Skin breakdown and decubitus formation can occur.

Thrombophlebitis, cellulitis, and line infections can occur. These patients often have peripheral and central intravenous catheters for prolonged periods.

Fungal infections can occur; the predisposing factors include prolonged hospitalization, parenteral nutrition, and central venous catheters. DVT prophylaxis is essential to reduce the risk of these potential complications. DVT and pulmonary embolism (PE) are potential complications because patients can be bedridden for weeks to months.

Stress ulcers can occur and are common in the intensive care unit setting. Stress ulcer prophylaxis is essential to reduce the risk of this potential complication.

Other potential complications

Other potential complications include the following:

  • Hypoxic tissue damage can lead to permanent neurologic deficits.

  • Death


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