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botulism canned food children descending paralysis dyspnea electromyogram fatigue food poisoning gag reflex,depressed hypotonia leg weakness,bilateral lid closure,weakness of misdiagnosis muscle weakness muscle weakness,proximal muscle weakness,sudden onset of nausea and vomiting neuromuscular junction,abnormality of neurotoxin nystagmus ptosis quadriparesis,acute respiratory failure standing difficulty tongue,weakness toxins,nervous system walking,difficulty with weakness weakness,acute weakness,generalized
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