This is especially true for those who do not receive the appropriate medical attention. It is soft, absorbent, and hypoallergenic, and it responds well to all three major sterilization methods (steam, ethylene oxide, and gamma radiation). The needle and syringe then extractthe liquid through the cotton filter to inject. 2,13 Have you lost control of your substance use? Needles and small spoons. Beyond this, the aforementioned article does propose three theories which discuss possible explanations of why this cotton fever occurs: The latter theory appears to be recognized as the most probable, and the JGIM article asserts that no evidence has been found to support the immunologic or pharmacologic theory. Even though cotton fever will resolve on its own, its still important you seek medical help to confirm that this is the correct diagnosis. If a person has become severely dehydrated they may also receive IV fluids. [2] Etymology [ edit] Heroin can be ingested in many ways, although some methods cause the drug to affect the brain and body more rapidly than others. Today, well take a look at the role of, are cotton products that are applied externally; for example, dressings, bandages, padding, gloves, facemasks, and medical gowns, are cotton products that are used inside the body; for example, tampons, are cotton products that are used outside of the body during procedures; for example, debridement sponges, are cotton products that are used to keep the body clean; for example, baby wipes, diapers, feminine hygiene pads, and antiseptic wipes. Women use cotton for menstrual disorders and symptoms of menopause. Paid Advertising. (2009). People who use drugs or unsafe substances may use or adapt everyday household items for these purposes. Once a drug is in liquid form, a person draws the substance through the filter and into the syringe. In addition to textile products like underwear, socks and t-shirts, cotton is also used in fishnets, coffee filters, tents, book binding and archival paper. Ali S, Mouton CP, Jabeen S, et al. Cotton fever can occur due to an inflammatory blood infection (sepsis). Yes, cotton fever can be fatal. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. A whole cotton seed contains about 15 to 20 percent oil. However, you can speed the process by soaking in a long bath and using fever-reducing medications. Symptoms of cotton fever arise within a few minutes or up to 12 hours after injection. Toxins used to sterilize cotton may also be more difficult to treat and the damage done may be impossible to treat. There are many things a person can use to tie off an arm so that a vein plumps up before injecting a drug such as heroin. If a person owns heroin paraphernalia, such as a specific spoon used to cook the drug, injection needles, or a pipe, it is important to get rid of these items in order to avoid being triggered to use the drug again. Because the flame can irreparably stain the spoon, it can't be returned and the person is likely to instead hide it away for future use. Cotton Fever is a condition known by many long-term Heroin addicts and some Meth addicts, who use cotton to filter the drugs when shooting up. Roach clips. Websites, music, or publications that glamorize drug use. They also use it to bring on labor and childbirth, as well as to expel the afterbirth. Call now for: Addiction Center is not affiliated with any insurance. Clothing, jewelry, tattoos, teen slang with drug culture messages. It had a slight tiny brown stain on the inside. However, drug use equipment can also lead to its own set of problems health issues, legal problems, and more. We may receive advertising fees if you follow links to the BetterHelp site. Be very careful when infringing on an individual's privacy. Chipped pills thus may thus not release the dosage as intended, which can lead to a lack of efficacy, or even too much of the medication released at one time. According to the Drug Enforcement Administration (DEA), drug paraphernalia (such as heroin and cocaine paraphernalia) includes: 1 Rolling papers and cigars. Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. As sepsis is caused by transmission of bacteria from a dirty needle, using a needle only once and using a new, sterile needle every time will prevent cotton fever. Items used to prepare and inject heroin include: Hypodermic needle: used to inject the liquefied drug into a vein or sometimes a muscle Cotton balls: to strain the liquid drug and pull out chunks of impurities that did not melt Spoons or bottle caps: vessels to cook the drug, or turn tar, solidified, or powdered heroin into a liquid for injection Hepatitis: This disease or infection that attacks the liver. Abscesses in the skin, tuberculosis, and sexually transmitted infections are also caused by, or transmitted through, dirty or shared needles. However, without immediate medical attention, it can be. The evaluation consists of 10 yes or no questions that are intended to be used as an informational tool to assess the severity and probability of a substance use disorder. Her main goal in life is to end the stigmas associated with mental health and addiction disorders. Some even assure people with SUD will get through withdrawal if they can survive cotton fever. Without medical attention, the strain on the system can prove deadly for mother or child, or both. A cottonball can be used as a filter after a drug has been cooked in a spoon or bottle cap. But a Journal of General Internal Medicine (JGIM) article notes that hydromophone or a combination of pentazocine and methylphenidate have also been linked to the condition. How to identify drug paraphernalia. You can receive 24/7 text support right away and at your convenience. A whole cotton seed contains about 15 to 20 percent oil. It felt like I was being stabbed by jagged knives: I hurt everywhere, I felt sick to my stomach, and the whole time I had cold sweats. Needles and small spoons. Today, well take a look at the role of cotton in todays medicine and healthcare fields, examining why this fiber is a favorite among so many doctors and nurses. Cotton Fever was the worst thing Ive ever experienced. While waiting for these results, broad-spectrum antibiotics may be administered in case the symptoms are caused by another more serious condition. Injection drug paraphernalia Injection drug users use a variety of supplies, including needles, syringes, spoons, cotton, water (for dissolving drugs prior to injection), and tourniquets. Breaking and chipping destroys the coating on the medicine. Today, it is ubiquitous in modern hospitals and clinics, and stands among the safest fibers in the world. LII / Legal Information Institute. To do this, many people use makeshift filters made from cigarette filters or cotton balls. Antibiotics are used in extreme or long-lasting cases of cotton fever. Share sensitive information only on official, secure websites. Get notified of the latest uplifting stories of recovery from True Stories of Addiction. Infective Endocarditis: Generally occurs when bacteria or fungi enter the bloodstream and spread to the heart. It is also used as ingredients (lecithin, emulsifiers, and proteins) in processed foods. This list covers slang terms associated with the use of popular drugs and alcohol; street names of these drugs will not be included on this list unless they also describe other aspects of use. Collapsed veins, blood clots, and other conditions, to name a few. A locked padlock 863, Controlled Substance Act Offenses and Penalties, www.DEA.gov. Short-term. Bongs. cotton in todays medicine and healthcare, Trends in Nonwovens & Sustainable Products, Processing Cotton Continues: Prepping for and Processing at the Cotton Gin, Protect Yourself and the Planet With Natural Hygiene Products. The best treatment plans are tailored to the specific persons needs. This is generally due to re-using a needle that may have the bacteria residue still on the needle from prior use. Possible Health Effects. Cottonseed oil is a commonly used vegetable oil thats derived from the seeds of cotton plants. Just like how cigarettes have a filter to catch at least SOME of the toxic crap before it enters the body. If you seek medical attention, treatment for cotton fever is available. Another method is to extract the inside of a ballpoint pen and snort the drug through the hollowed tube. Bottom line: There are some far better uses for cotton balls. What are tampons made out of? One item that should raise a red flag is a precut length of rubber tubing or lacing, which may be preferred because they provide extra tension that other items can't. and discover why so many physicians trust cotton to get the job done. Unfortunately, there is no simple way to ensure the sterilization of an already used needle. E-cigarettes or vapes. Industry Accreditations, Reviews & Ratings. What Is A Typical Day In Drug Rehab Like? Safe and Successful Treatment of Intravenous Drug Users with a Peripherally Inserted Central Catheter in an Outpatient Parenteral Antibiotic Treatment Service. Bongs and hookahs. JACEP 1978;7:27980. According to the Drug Enforcement Administration (DEA), drug paraphernalia (such as heroin and cocaine paraphernalia) includes: 1 Rolling papers and cigars. Retrieved on December 18th, 2019 from: Jasper Copping (2009) Drug Slang: What Police Must Learn A-B, C-D, E-H, I-Q, R-Z. Official websites use .govA .gov website belongs to an official government organization in the United States. After the drug becomes liquid, its then loaded into the syringe. It improves visibility and reduces waste. Exposure to the bacteria that cause endocarditis can be caused by certain dental procedures or oral activity, infection, catheters, needles used for tattoos or piercings, and injection drug use. Roach clips. Once a drug is in liquid form, a person draws the substance through the filter and into the syringe. Published: December 27, 2019 | Last Edited: September 22, 2022. Make a Call Retrieved on December 17th, 2019 from: Kayla Williams (2014) The Different Ways to Smoke and Consume Cannabis. The test is free, confidential, and no personal information is needed to receive the result. Drug Enforcement Administration. While rolling papers or glass or metal pipes often indicate that someone is smoking drugs, aluminum foil can also be evidence of drug use. Cathinone is a Schedule I drug **, making khat use illegal, but the khat plant is not controlled. This is a common practice with heroin. Recognizing the signs of drug use and taking action is essential for getting your loved one the help and treatment that they need. If the needle is used repeatedly then mold and other bacteria can grow increasing the likelihood of sepsis and/or cotton fever. Ordering Prescriptions Drugs Online From Canada, The 5 most profitable medications ever produced. Miniature spoons. You can help point them in the right direction by discussing their options, such as attending therapy or a support group for people with substance use disorder if their use is compulsive. WebMost GMO soy is used for food for animals, predominantly poultry and livestock, and making soybean oil. Candyflip: LSD and MDMA. This paved the way for the ultra-safe, purified cotton that we know and love today. Seeing is Phoning: World Blindness Awareness Month and the Smartphone Revolution, Targeted Therapies and National Breast Cancer Awareness Month, Neiman Marcus Prices for Walmart Healthcare. WebCotton can be used to create dozens of different fabric types for a range of end-uses, including blends with other natural fibres like wool, and synthetic fibres like polyester. Prepare Solution: Using your own clean cooker or spoon, mix drugs with sterile water, heat (add Vitamin C if necessary) Add a filter (piece of cotton ball or pellet avoid cigarette filters) using clean fingertips. This practice has been coined shooting the cottons. After sitting out for some time, these cotton balls could harbor bacteria or other pathogens. Harrison D, Walls R. Cotton Fever: A Benign Febrile Syndrome in Intravenous Drug Abusers. Slang for Drug Combinations. The USP is nothing if not precise about the use of hydrogen peroxidein the cotton. Surgical/dust mask. People who smoke crack will often place the chopped-up crystals onto a piece of foil and hold it over a candle or lighter until it smokes. Attempts by intravenous drug users to sterilize cotton can make the fibers toxic. Retrieved on December 17th, 2019 from: Merriam-Webster (2019) Drunk, Junkies. The most common way is by injecting the substance directly into the vein. E-cigarettes or vapes. It was worse than withdrawal, to be honest, said an anonymous source who had experienced Cotton Fever during active addiction. Talk to a health professional or call an information helpline for more tips on how to help a loved one who might have a substance use problem. Miniature spoons. The bottom did not have any burnt indications. in Media Studies from Penn State University, but instead of shifting into an academic career in social science, he has decided to put his skills to work in the pursuit of helping those struggling with addiction. Insert tip of syringe into filter and pull up Drug Enforcement Administration (DEA). Widely dilated pupils (linked with cocaine, Approach the conversation from a place of love. [1] The condition derives from an endotoxin released by the bacteria Pantoea agglomerans which lives in cotton plants. The cotton ball is dropped into the bowl of the spoon to strain the liquid and weed out any impurities that have not melted. No matter how drugs are ingested, they can become addictive and cause serious health consequences like lung, brain, heart, and liver damage. Cotton has come a long way since its early applications in the medical field. However, if someone is displaying common signs of illegal drug use and they possess certain drug paraphernalia, it is likely they are using drugs. Suspicious items may include eye drops, mouthwash, baggies, cigarette rolling papers, cotton swabs, roach clips, pipes, bongs, needles, pill bottles, incense, or room deodorizers. For this reason, sepsis or other infections should be ruled out. The needle and syringe then extract the liquid through the cotton filter to inject. Its important to ensure other infections arent causing similar symptoms. Our treatment providers offer 24/7 assistance. Broken pills lead to an issue of dose control. Having an infection in your bloodstream affects your entire body. However, these are also everyday items that have benign uses. Alcohol and popular drugs have accrued numerous slang terms throughout their use. Retrieved on December 18th, 2019 from: Wiktionary (2019) Thesaurus: Marijuana Cigarette. Once a drug is in liquid form, a person draws the substance through the filter and into the syringe. Prepare to take action if you suspect teen or young adult drug use. COVID-19 UPDATE: Vertava Health is committed to the safety and security of our team members, patients, and their families. 2023 Barnhardt Natural Fibers. Does Your Health Insurance Cover Treatment? Pipes. If you suspect someone you love is taking drugs, finding any of these common and often overlooked items should serve as a warning sign to take action. Just like how cigarettes have a filter to catch at least SOME of the toxic crap before it enters the body. While this is fairly rare in a medical setting, its important that other more serious conditions are ruled out by with appropriate testing. The fibres can be made into a wide variety of fabrics ranging from lightweight voiles and laces The Journal of the American Board of Family Medicine 2016;29(2):2769. Although cotton fever is self-limited and normally lasts 6 to 12 hours, it can continue for up to 24 to 48 hours. Be very careful when infringing on an individual's privacy. Straws or paper tubes, small mirrors, and razorblades or cards. In most cases, the condition eases on its own. McHugh RK, Fulciniti F, Mashhoon Y, Weiss RD. All of the information on this page has been reviewed and certified by an addiction professional. Typically, people who use dirty needles would prefer and try to use clean needles, however, it is just not always possible. Clothing, jewelry, tattoos, teen slang with drug culture messages. The true cause of this condition is the bacteria known as Pantoea agglomerans. Women use cotton for menstrual disorders and symptoms of menopause. View the paraphernalia tab in our Identifying Drugs tool for images of all the paraphernalia listed below. Even more important, the coating might be part of a medication's time-release design. Calls are forwarded to these paid advertisers. The latter material is associated with causing a flu-like illness marked by fever. Surgical/dust mask. Common examples of drug paraphernalia include but are not limited to: 2, 3. RCW 69.50.102 Drug Paraphernalia Definitions. Specific jargon exists for the combination of two or more drugs into a single product. The cotton will catch some of the cuts used in drugs. WebMost GMO soy is used for food for animals, predominantly poultry and livestock, and making soybean oil. This creates a secondary and potentially fatal risk. Symptoms include fever, chills, headache, abdominal pain, nausea, vomiting, and muscle aches. In some cases, cotton fever is a challenging diagnosis. Symptoms include fever, chills, headache, abdominal pain, nausea, vomiting, and muscle aches. WebCotton fever refers to the transient elevation in temperature within minutes after injection of drug filtered through cotton, or after shooting the cottons. Also known as a dirty shot. Cotton puts you at risk of infection, even when using a clean needle. However, doing this doesnt guarantee an infection wont occur. Common applications of cotton wool in medicine include: Cotton wool balls Cotton roll Q-tips Cotton pads Gauze Several examples and their characteristic ingredients include: A-bomb: marijuana and heroin. Sepsis occurs when bacteria enter the bloodstream and the body. If you think you may have a medical emergency, call your doctor, go to the emergency department, or call 911 immediately. Straws or paper tubes, small mirrors, and razorblades or cards. There are many potential signs of illegal drug use including: Of course, some symptoms may be the result of an underlying medical condition or the side effects of a prescribed drug. Over the Internet, at tobacco shops, head shops, gift and novelty shops, gas stations, and convenience stores. FDA-cleared tampons are made of cotton, rayon, or a blend of the two. E-cigarettes. Webcotton, seed-hair fibre of several species of plants of the genus Gossypium, belonging to the hibiscus, or mallow, family (Malvaceae). Of course, there is also a fever on top of everything else going on, which, in turn, brings about nausea and vomiting. We have access to phenomenal treatment programs all across the nation. Unsafe sexual practices also put drug users at risk. Writers of that time described the use of raw, untreated cotton fibers in several medical applications, including forming pads over dressed wounds, protecting burns and scalds, and serving as an early drainage tube by keeping the edges of wounds open. Intravenous drug use is associated with a host of illnesses and disease. More severe cases may last one to two days. Official Symptoms Of Liver Disease Guide Alcoholic And Non-Alcoholic, Wet Brain from Alcohol: Signs, Symptoms, and Recovery, The Fallout Legal Consequences of Alcoholism, Elevated white blood cell count (leukocytosis). Any method to sterilize cotton that may contain the bacteria would likely turn the cotton toxic and possibly deadly in another manner. The presence of an infection can throw anyones system into crisis and instigate the death of either one or both. The JGIM article comments on this, noting that The importance of recognizing cotton fever is paramount, as early suspicion may reduce expensive secondary evaluations and the length of hospitalization. [middle-callout] Secondly, other illnesses could be misdiagnosed as cotton fever. Surgical/dust mask. Cotton fever typically develops within 30 minutes after injection. Common applications of cotton wool in medicine include: Cotton wool balls Cotton roll Q-tips Cotton pads Gauze It is soft, absorbent, and hypoallergenic, and it responds well to all three major sterilization methods (steam, ethylene oxide, and gamma radiation). They thought fragments from cotton balls got into the bloodstream during the injection. In order to prepare cocaine or methamphetamine ("meth") to be snorted, single- or double-edged razor blades are commonly used to cut the substances into lines. Again, cotton balls are commonly used for this purpose since they are so cheap and readily available. Remember, they are ultimately responsible for their sobriety, so taking care of their mental health is paramount to putting them on track for a drug-free lifestyle. Cotton Fever is a condition known by many long-term Heroin addicts and some Meth addicts, who use cotton to filter the drugs when shooting up. To do this, a person dilutes or liquefies the drug, often by heating it. 8-ball: crack and heroin. 21 U.S. Code 863 - drug paraphernalia. Journal of Antimicrobial Chemotherapy, 23 Sept. 2010. Verywell Mind's content is for informational and educational purposes only. Retrieved on December 17th, 2019 from: Sesquiotic (2011) 365 Words for Drunk. WebCotton fever is a condition that indicates as a fever that follows intravenous drug use where cotton is used to filter the drugs. Suspicious items may include eye drops, mouthwash, baggies, cigarette rolling papers, cotton swabs, roach clips, pipes, bongs, needles, pill bottles, incense, or room deodorizers. Centers for Disease Control and Prevention. HIV is mainly spread by contaminated needles or injection paraphernalia including syringes, cookers, and cottons used to prepare or inject drugs. Straws are commonly used to snort cocaine or meth. Understanding Withdrawal & Detox by Substance. While some of these are common personal hygiene items, they could also indicate a drug use problem. This site contains User-Generated Content, meaning any and all information and content that a user submits to the Site. In addition to textile products like underwear, socks and t-shirts, cotton is also used in fishnets, coffee filters, tents, book binding and archival paper. When a patient is first admitted or examined for cotton fever, blood tests and cultures should be done. Cotton Fever comes from an endotoxin that is released by a bacteria called Pantoea agglomerans which colonize in cotton plants prior to being processed. Content is reviewed before publication and upon substantial updates. E-cigarettes. Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Cotton has come a long way since its early applications in the medical field. Just like how cigarettes have a filter to catch at least SOME of the toxic crap before it enters the body. Cotton: Paraphernalia includes weight scales, a butane torch, a bong, a ziplock bag, square folded paper envelopes, lighters, small porcelain bowls, needles, balloons, aluminum foil wrappers, mirrors or flat metal, cut straws, pipes, capsules, and/or vials. Learn more about your options. When a person becomes addicted to a drug, they experience an intense need to use it. WebCotton can be used to create dozens of different fabric types for a range of end-uses, including blends with other natural fibres like wool, and synthetic fibres like polyester. Heroin Purity & Types: What Does Heroin Look Like? Pipes. For example, a bong or pipe may be used smoke marijuana, while a needle and spoon may be used to inject heroin. Known to strike within a half an hour of injection, in some cases, it takes as little as five minutes to set in. Pipes (e.g., acrylic, ceramic, glass, metal, plastic, stone, water, wooden). It's easier to tell if your pills have been tampered with if they generally come whole, without chipping and breaking. A person might use extra-long shoelaces, a belt, a hairband, an elastic lanyard, or even a length of twine. We may receive advertising fees if you follow links to promoted online therapy websites. Zerr AM, Ku K, Kara A. Miniature spoons. OxyContin is a strong prescription medicine used when an opioid medicine is needed to manage severe pain enough to require daily around-the-clock, long-term treatment with an opioid, when other pain treatments such as non-opioid pain medicines or immediate-release opioid medicines do not treat your pain well enough or you cannot tolerate them. Cocoa Puffs: marijuana and cocaine. Our admissions navigators are available to help 24/7 to discuss treatment. How are they assessed? The cotton ball is dropped into the bowl of the spoon to strain the liquid and weed out any impurities that have not melted. Good drug addiction treatment can help a person achieve sobriety and learn how to live a fulfilling drug-free life. (870) 515-4356. Preventing cotton fever from using cotton in the injecting process is more challenging. While some of these are common personal hygiene items, they could also indicate a drug use problem. When symptoms occur, call for emergency help quickly. WebCotton fever refers to the transient elevation in temperature within minutes after injection of drug filtered through cotton, or after shooting the cottons. Insert tip of syringe into filter and pull up Innov Clin Neurosci. Take the first step toward addiction treatment by contacting us today. By Buddy T Common examples of drug paraphernalia include but are not limited to: 2, 3. HIV/AIDS: The virus attacks the immune system, making it difficult for the body to fight off other infections and disease. Physical Effects of Heroin On the Body (Short & Long-Term Effects), Heroin Addiction Facts, Statistics & Recovery Rates, Quitting Heroin Cold Turkey: How to Get Off Heroin Safely, The Dangers of Mixing Heroin with Other Drugs and Alcohol. Buddy T is an anonymous writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. Because cotton can attract pathogens and contaminate medication, many drug companies use hydrogen peroxide to sanitize the cotton balls. Cathinone is a Schedule I drug **, making khat use illegal, but the khat plant is not controlled. The bottom did not have any burnt indications. A treatment facility paid to have their center promoted here. Insert tip of syringe into filter and pull up Nicko Estrellado is a content writer for AddictionGroup. E-cigarettes or vapes. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. These risks increase when intravenous drug users inject a drug with a previously used needle. This matters for two reasons. Partnership to End Addiction. The fibres can be made into a wide variety of fabrics ranging from lightweight voiles and laces This can happen when an intravenous drug user is using an unclean syringe, something intended for a single use. Lets face it, there are a lot of things that can go wrong with IV drug abuse. In 2019, the most common illicit drug used in the previous 12 months was cannabis (11.6%), followed by cocaine (4.2%) and ecstasy (3.0%) (Figure 1). The needle and syringe then extract the liquid through the cotton filter to inject. To sell or offer for sale drug paraphernalia; To use the mail or any other facility of interstate commerce to transport drug paraphernalia; or. For example, a bong or pipe may be used smoke marijuana, while a needle and spoon may be used to inject heroin. Cotton Fever: A Condition Self-Diagnosed by IV Drug Users. Euphoria, increased alertness and arousal, increased blood pressure and heart rate, depression, paranoia, headaches, loss of appetite, insomnia, fine tremors, loss of short-term memory. The inclusion of a link on this website does not constitute an official endorsement, guarantee, or approval by DEA. [inline_cta_four]. There is no obligation to enter treatment and you can opt out at any time. The more popular the substance, the more slang is associated with it. This is the best way to avoid contracting cotton fever. The Journal of Emergency Medicine 1990;8:1359. The needle and syringe then extract the liquid through the cotton filter to inject. Take our free, 5-minute substance abuse self-assessment below if you think you or someone you love might be struggling with substance abuse. It can feel terrifying when you suspect that someone you love is using harmful drugs. If someone is consistently using products like sunglasses, eye drops, perfume, and/or mouthwash, it's possible they are trying to cover up drug use. Candyflip: LSD and MDMA. In addition to the risk of cotton fever, other potential side effects and risks of using IV drugs include: Treatment for IV drug use varies from person to person. Due to its absorbency, it is most often used for cleaning the skin, bathing wounds, or applying liquids and creams. The bottom did not have any burnt indications. Cotton fever has many of the same symptoms as a bad flu or other issues. Items or associations that may indicate interest in illegal drugs or drug use. Cotton is used for nausea, fever, headache, diarrhea, dysentery, nerve pain, and bleeding. However, symptoms can arise sooner. The forearm is a primary injection site for many users, however, other locations may also be used to shoot up or inject the drug. A cotton ball can be used as a filter after a drug has been cooked in a spoon or bottle cap. Bottom line: There are some far better uses for cotton balls. It was worse than withdrawal, to be honest anonymous, For someone who is struggling with a Heroin or heavy Meth users, Cotton Fever could be one of the worst experiences he or she will ever face. Cotton Fever comes from an endotoxin that is released by a bacteria called Pantoea agglomerans which colonize in cotton plants prior to being processed.
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