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The disease course varies among individuals. Symptoms usually appear 12 to 36 hours after ingesting contaminated food, and can include muscle paralysis caused by the extremely potent toxin. Botulism food poisoning is treated with botulinum antitoxin and hospitalization (Source: CDC).
Most people who develop wound botulism inject drugs several times a day, so it's difficult to know for sure how long it takes for signs and symptoms to develop after the toxin enters the body. Wound botulism signs and symptoms include: 1  Difficulty swallowing or speaking.  Facial weakness on both sides of the face.