Botulism in an Adult Associated with Food-Borne Intestinal Infection withClostridium botulinum

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Abstract
Botulism is a neuroparalytic illness caused by the action of a heat-labile neurotoxin elaborated by Clostridium botulinum. Botulism in adults typically results from ingestion of preformed toxin in contaminated food, whereas in botulism in infants and in wound botulism, the neurotoxin is produced in vivo after multiplication of C. botulinum in the intestinal tract or infected wound, respectively.1 A fourth category, "classification undetermined," which was recently established by the Centers for Disease Control, includes cases occurring in persons older than one year of age in which it is not possible to implicate a specific food source on the basis . . .

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