Wound Botulism Associated With Black Tar Heroin Among Injecting Drug Users

Abstract
AN ESTIMATED 80000 Americans, including 18000 Californians, inject illicit drugs.1 Compared with the general population, injecting drug users (IDUs) are at increased risk for disease and death2-6 and use a disproportionate amount of medical resources.7,8 Soft tissue infections are a particular problem.9-11

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