On July 8, a woman was given an antibiotic for presumptive sinusitis. However, her condition worsened, and she was unable to eat for 4 days because of severe pain and tightness of the jaw. On July 12, she was admitted to a hospital with severe facial spasms. She reported that on July 5 she had incurred a puncture wound at the base of her big toe; she cleaned the wound but did not seek medical attention. What caused her symptoms? Was her condition due to an infection or an intoxication? Can she transmit this condition to another person?
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