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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).
Botulinum toxins are neurotoxic and therefore affect the nervous system. Foodborne botulism is characterized by descending, flaccid paralysis that can cause respiratory failure. Early symptoms include marked fatigue, weakness and vertigo, usually followed by blurred vision, dry mouth and difficulty in swallowing and speaking.