Many cases were linked to two hospitals in Turkey, which is among the countries that perform the most cosmetic procedures, including those in which the botulism neurotoxin was used.
Between late February 2023 and March 10, 2023, 67 cases of botulism linked to intragastric injection of the botulism neurotoxin were reported in Germany , Austria , Switzerland , and Turkey . These data come from the European Centre for Disease Prevention and Control .
Individuals who have traveled to Istanbul and Izmir for intragastric BoNT treatment between February 22 and March 1, 2023, are encouraged to seek medical advice from their healthcare provider, particularly if they experience symptoms such as weakness and difficulty breathing or swallowing.International Survey on Aesthetic/Cosmetic Procedures Performed in 2020
The ECDC strongly encourages EU/EEA citizens to avoid intragastric treatments with BoNT for obesity in Turkey, as this is currently associated with a significant risk of developing botulism. It is unclear whether this event represents a therapeutic or procedural problem in the involved hospitals or whether there is a problem with the product being administered.
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