Hong Kong health officials report today that they are investigating a case of probable botulism. This has prompted them to remind the public that botulinum toxin injection should only be prescribed and performed by registered doctors.
The patient, a 29-year-old woman with good past health, developed drooping eyelids, blurred vision and generalized weakness since December 12.
She attended the Accident and Emergency Department of Kwong Wah Hospital on December 13 and was found to have ptosis on admission on the same day. The clinical diagnosis was suspected iatrogenic botulism. The patient has been in stable condition and discharged against medical advice today.
According to the patient, she attended a beauty premises alone near Yau Ma Tei and received multiple injections of suspected to be botulinum toxins over her face on November 8 and December 6 respectively. According to the patient, the injections were not given by a doctor. She could not recall the name and address of the beauty premises.
Epidemiological investigations are ongoing.