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=== Wound === Wound botulism results from the contamination of a wound with the bacteria, which then secrete the toxin into the bloodstream. This has become more common in [[Intravenous drug use (recreational)|intravenous drug users]] since the 1990s, especially people using [[black tar heroin]] and those [[skin popping|injecting heroin into the skin]] rather than the veins.<ref name=Sobel2005/> Wound botulism can also come from a minor wound that is not properly cleaned out; the skin grows over the wound thus trapping the spore in an anaerobic environment and creating botulism. One example was a person who cut their ankle while using a weed eater; as the wound healed over, it trapped a blade of grass and spec of soil under the skin that lead to severe botulism requiring hospitalization and rehabilitation for months. Wound botulism accounts for 29% of cases.{{citation needed|date=December 2022}}
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