| Abstract ---Botulism, a potential 
lethal disease related to neurologic complications caused by neurotoxins most 
of then were produced by Clostridium botulinum. Food related botulism, infant 
botulism and wound botulism were reported all over the world after the first published 
by Kerner in 1820, botulism of adult with unknown was distributed in recent year 
which may due to colonization in gastrointestinal tract or toxin produced in vitro. 
The botulinal neurotoxin is the most lethal biological substance known, and it 
can be purified in laboratory. Bioterrorism is discussed after the terrier attack 
of United State in 2001 and botulism is one of the most possible agents. Prevention 
to the attack of biological weapons is impossible, it is emergent that clinicians 
should learn to recognize, diagnose and manage this rare but lethal disease, include 
the possibility of large outbreak due to terrorism. |