- Clostridium botulinum is a gram-positive, spore-forming bacterium that produces botulinum toxin, which causes the flaccid paralysis seen in botulism. - It exists as rod-shaped bacteria 0.5-2.0 micrometers wide and 1.6-22.0 micrometers long that form oval, subterminal endospores. - The bacterium produces seven types of potent neurotoxins (A-G) that inhibit the release of acetylcholine at motor neuron synapses, preventing muscle contraction and causing paralysis.