- Toxin produced by anaerobic gram positive rod
- Acquired via food (improperly canned), dirty wounds, black tar heroin infxn
- Toxin inhibits ash release in NMJ--> flaccid paralysis
- Incubation 1-2d
- Dizziness
- Dry mouth
- Double vision
- Blurred vision
- Agitation
- Resp failure
- Death
- Rapid descending symmetric paralysis starting w/cranial nerves
- No sensory deficits