en Clinical Medicine Clinical Medicine گزارش موردی Case Report Article <p style="text-align: justify;"><span style="font-size:16px;"><span style="font-family:Times New Roman;"><span style="color:black">This case report describes a 17-year-old female patient who presented with severe autonomic dysregulation and neurological symptoms. We explain in detail the patient&#39;s clinical course, diagnostic evaluation, treatment, and follow-up, emphasizing the importance of early recognition and management of botulism. This case highlights the importance of public education on food safety practices to prevent future occurrences. The report also highlights the critical role of interdisciplinary collaboration in the management of complex cases involving multiple systems, such as the autonomic and neurological systems.</span></span></span></p> Botulism, Foodborne Diseases, Bulbar Paralysis, Respiratory Insufficiency, Case Report 372 378 http://journal.zums.ac.ir/browse.php?a_code=A-10-3668-10&slc_lang=en&sid=1 Behzad Bijani dr.bijani@gmail.com 5200319475328460087488 5200319475328460087488 No Department of Infectious Diseases, Clinical Research Development Unit, BuAliSina Hospital, Qazvin University of Medical Sciences, Qazvin, Iran Abbas Allami allami9@yahoo.com 5200319475328460087489 5200319475328460087489 Yes Department of Infectious Diseases, Clinical Research Development Unit, BuAliSina Hospital, Qazvin University of Medical Sciences, Qazvin, Iran AliReza Nikoonejad nikoonejad.anikoo@gmail.com 5200319475328460087490 5200319475328460087490 No Department of Infectious Diseases, Clinical Research Development Unit, BuAliSina Hospital, Qazvin University of Medical Sciences, Qazvin, Iran Sara Nazemsadati dr.nazemsadati@gmail.com 5200319475328460087491 5200319475328460087491 No Department of Infectious Diseases, Clinical Research Development Unit, BuAliSina Hospital, Qazvin University of Medical Sciences, Qazvin, Iran