The Centre for Health Protection (CHP) of the Department of Health (DH) is today (November 2) investigating a probable case of botulism after receiving injection of botulinum toxin locally, and again urged the public that such injections should only be prescribed and performed by registered doctors.

     The female patient, aged 24 with underlying illness, developed generalised weakness, dizziness, nausea and shortness of breath since October 30. She was admitted to Queen Elizabeth Hospital today. The clinical diagnosis was suspected iatrogenic botulism. She is now in a stable condition.

     Initial enquiries revealed that the patient received botulinum toxin injection at her face in a beauty premises in Tsim Sha Tsui on October 30. According to the patient, the injection was given by a doctor. Investigations are ongoing.

     "When botulinum toxin is used for cosmetic purposes, its cosmetic effects after injection are temporary and will gradually disappear. If referred to a doctor for the procedure, customers should look for his or her full name against the list of registered doctors of the Medical Council of Hong Kong as well as his or her professional qualifications and relevant experience," a spokesman for the CHP reminded.

     Due to the weakening of associated muscles and the fact that botulinum toxin may spread and affect other areas beyond the injection site, affected patients may have drooping of the eyelids, double vision or blurred vision, problems with chewing, hoarseness or even difficulties in swallowing, speaking or breathing, which may happen in hours, days or weeks after the injection.

     The DH urged the public to observe the health advice below before receiving botulinum toxin injections:
 

• Injections should only be performed by locally registered doctors;
• Understand the procedure, potential risks and complications before receiving injections. Consult a doctor for an informed decision;
• Do not receive an injection in case of history of allergy to botulinum toxin, or infection or inflammation on the injection site;
• Request the full name of the doctor in writing if referred by a beauty service provider for the procedure, as well as the professional qualifications and relevant experience; and
• If symptoms develop, such as fever or feeling unwell, seek medical attention immediately.

     The public may visit the DH's webpage on the differentiation between medical procedures and beauty services, the Drug Database of the Drug Office and the CHP's botulism page for more information.​

Ends/Friday, November 2, 2018
Issued at HKT 18:49

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