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Botulism — ABEM Board MCQ

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HardInfectious disease emergenciesBotulismABEM Board

A 44-year-old man arrives with diplopia, dry mouth, and difficulty swallowing after eating home-canned vegetables. Triage acuity is ESI 2; BP 136/78 mm Hg, HR 96/min. He has bilateral ptosis, dilated pupils, descending weakness, and normal sensation. He is afebrile. Which of the following is the most appropriate disposition?

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Correct answer: B — Admit to the ICU and obtain botulinum antitoxin through public health authorities

Botulism can progress to respiratory failure and requires ICU monitoring plus antitoxin coordination.

Reference: CDC botulism clinical guidance