Infant botulism is one of the most feared pediatric neuroparalytic illnesses, not because it is common, but because of its severity, subtle presentation, and potential for rapid progression. Caused by the ingestion of Clostridium botulinum spores that germinate and produce botulinum neurotoxin (BoNT) in the immature gut, infant botulism remains a critical public-health and clinical concern despite its rarity. For physicians, parents, public-health investigators, and legal professionals—particularly those involved in foodborne illness litigation—understanding how infant botulism happens, how it presents, and how it is managed is essential.

I. What Is Infant Botulism? An Overview

Botulism is a paralytic illness caused by botulinum toxin, one of the most potent neurotoxins known. While adul

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