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Infant botulism results from

  • A.preformed toxin swallowed with the food
  • B.toxin absorbed through the infant's skin
  • C.spores multiplying in the bloodstream
  • D.spores germinating and producing toxin in the gut

Answer: D

Unlike foodborne botulism, where toxin already present in the food is eaten, here the organism colonises the intestine and makes toxin in place. That difference explains why the food itself may contain no toxin at all.

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