A 56-year-old woman in Helena, Montana, USA, who showed clinical signs of paralysis, received antitoxins to botulinum toxins A, B, and E within 24 hours; nevertheless, symptoms progressed to complete quadriplegia. On day 8, she began moving spontaneously, even though blood tests later showed botulinum toxin type F remained.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2727312PMC
http://dx.doi.org/10.3201/eid1506.070571DOI Listing

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