An 22 year old female complains of double vision and difficulty talking. On examination, there is symmetrical descending paralysis, Quadriparesis with areflexia, pupils are non reactive. Diagnosis is: (A) Tetanus, (B) Strychnine, (C) Diphtheria, (D) Botulism
Answer is D. Flaccid paralysis (quadriparesis) with blurring of vision, areflexia and non-reactive pupils suggestive of botulism.