C. botulinum
symptoms, which steps in neuromuscular transmission is affected, treatment

4 D's(⇔pellagra)

dysphagia
dysarthria(構音障害)
dyspnea
diplopia
(descending flaccid paralysis) flˈæksɪd

enters the nerve terminals through endocytosis, when it ☆prevents binding and fusion of Ach-containing synaptic vesicles with the plasma membrane through the destruction of SNARE proteins

human botulinum immunoglobulin

microbiology UWorld