Her case, published as a case report in Discover Neuroscience, describes how clinicians arrived at a diagnosis of clinically suspected botulism purely through pattern recognition and the systematic exclusion of every major neurological mimic.

Over the next 48 hours she developed bilateral ptosis, mid-dilated non-reactive pupils, progressive bulbar weakness, and respiratory muscle involvement.

Subject of Research: A case report of clinically suspected, laboratory-unconfirmed botulism diagnosed through clinical pattern recognition and systematic exclusion of neurological mimics.

Article Title: Clinically suspected botulism without laboratory confirmation diagnosed through clinical pattern recognition and systematic exclusion Article References: Mann, G. S., Rajeev, M., Nandwani, S., & Jain, N. (2026).

Clinically suspected botulism without laboratory confirmation diagnosed through clinical pattern recognition and systematic exclusion.