Introduction: Recently, the use of metal and plastic containers instead of clay containers in producing this type of cheese has provided the anaerobic condition for growing the bacterium and producing the botulinum toxin. In this case report was to introduce "clay cheese dug in the ground" as a source of botulinum toxin for the first time.
Case Report: A 34-year-old man with dizziness, asthma, and inability to swallow for four days referred to the hospital emergency department.