A 6-Month-Old Infant Is Brought to the Emergency Department (ED)

A 6-month-old infant is brought to the emergency department (ED) having woken up from a nap with a weak cry, ptosis, unreactive pupils, and the inability to lift her arms. She has had routine well-baby care. There is no sign of physical abuse or rash, and she is afebrile. The physician puts the child on a respiration monitor and calls the infectious disease consultant. What is most likely causing the problem?

A) Viral meningitis
B) Infant botulism
C) Botulism from canned goods that were improperly heated
D) Bacterial meningitis-Listeria monocytogenes
E) Bacterial meningitis-Streptococcus pneumoniae