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[familial microepidemic of food-borne botulism in the region of madrid].botulism is a syndrome caused by the toxin of the bacillus clostridium botulinum. the toxin acts by blocking the presynaptic cholinergic endings of the neuromuscular junction and of the parasympathetic nervous system, and gives rise to a flaccid paralysis and parasympathetic failure. the most common way to catch the disease is by ingestion of the preformed toxin present in badly sterilised home-made preserves, although other mechanisms are also possible. its incidence in spain today is very low.201627345277
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