HK woman suspected of botulism after botox injections in Seoul

A 25-year-old Hong Kong woman is suspected of having botulism after receiving botulinum toxin injections for cosmetic purposes at a beauty establishment in Seoul, health authorities said on Tuesday.

The Centre for Health Protection reported the patient received injections purporting to be botulinum toxin on February 27, but could not confirm whether the person performing them had relevant qualifications. She returned to Hong Kong and developed progressive dysphagia from March 9.

Admitted to Queen Elizabeth Hospital on Monday with persistent symptoms, she remains in stable condition and is clinically suspected to have botulism caused by the injections. The CHP has reported the case to Korean health authorities.

Botulinum toxin injections should only be performed by registered doctors after clinical assessment, the CHP reminded. Patients should verify the doctor's full name against the Medical Council's registered list and their professional qualifications.

Due to potential toxin spread beyond injection sites, affected patients may experience drooping eyelids, blurred vision, chewing problems, hoarseness, or difficulty swallowing, speaking, or breathing – symptoms which may appear hours, days, or weeks after injection.