Card 29 / 38: A 30 year old female was brought to the ER due to acute onset of symmetrical weakness, starting from the upper extremities later involving the lower extremities; she remained conscious and coherent. Upon further history, the patient claimed to have eaten canned sardines which she found out to have expired. How will you manage this patient?
A) Provide supportive care, give purgatives, administer trivalent botulinum antitoxin
B) Provide supportive care, start metronidazole 500mg IV q6hrs x 10 days
C) Provide supportive care and administer human botulinum immunoglobulin
D) Provide supportive care, monitor airway, administer heptavalent botulinum antitoxin (HBAT)

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