Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
If diagnosed early, food-borne and wound botulism can be treated with an
antitoxin that blocks the action of neurotoxin circulating in the blood.
The trivalent antitoxin (effective against three neurotoxins: A, B, and
E) is dispensed from quarantine stations by the U.S. government's
Centers for Disease Control and Prevention (CDC). The antitoxin can
prevent the disorder from worsening, but recovery still takes many
weeks. Another heptavalent antitoxin (effective against seven
neurotoxins: A, B, C, D, E, F, and G) may be available from the U.S.
Army or FEMA. Physicians may remove whatever contaminated food is still
in the gut by inducing vomiting or by using enemas. Wounds should be
treated, usually surgically, to remove the source of the toxin-producing
bacteria. Good supportive care in a hospital is the mainstay of therapy
for all kinds of botulism.
Antitoxin is not routinely given for the treatment of infant botulism; however, a new product that recently became available from the orphan drug program can be used to treat botulism in infants. The product is comprised of immune globulins that can be given
intravenously to infants who have been diagnosed with infant botulism. The new treatment is named BabyBIG (Botulism Immune Globulin, given IV) and is only currently available from a special site. Call 510-231-7600 for specific information about this treatment.
The respiratory failure and paralysis that occur with severe botulism may require a patient to be on a breathing machine (ventilator) for weeks and may require intensive medical and nursing care. After several weeks, the paralysis slowly improves as axons in the nerves are regenerated.
Food poisoning is common, but can also be life threatening. The most common form of food poisoning is caused by bacteria and include symptoms such as fever, abdominal pain, diarrhea, nausea and vomiting.
Drug addiction is a chronic disease that causes drug-seeking behavior and drug use despite negative consequences to the user and those around him. Though the initial decision to use drugs is voluntary, changes in the brain caused by repeated drug abuse can affect a person's self-control and ability to make the right decisions and increase the urge to take drugs. Drug abuse and addiction are preventable.
Wrinkles, whether they be fine line or deep furrows, typically appear on areas of the body that receive a high amount of exposure to the sun. Smoking, light skin type, hairstyle, the way you dress, your occupational and recreational habits, and heredity are all factors that promote wrinkling. Medical treatments for wrinkles include antioxidants, moisturizers, alpha-hydroxy acids, and vitamin A acid. Cosmetic procedures that treat wrinkles include dermabrasion, microdermabrasion, glycolic acid peels, laser resurfacing, Botox, and fillers.
Bioterrorism is a form of terrorism where there is the intentional release of biological agents such as viruses, germs, or bacteria. Diseases caused by bioterrorism agents include anthrax, botulism, plague, smallpox, tularemia, brucellosis, food poisoning, Q fever, ricin toxin poisoning, cholera, epidemic typhus, viral encephalitis, XDR TB, and MDR TB.