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On July 8th, a woman was given an antibiotic for presumptive sinusitis. However, Her condition worsened, and she was unable to eat for 4 days because of her severe pain and tightness of the jaw. On July 12th, she was admitted to a hospital with severe facial spams. She reported that on July 5th she had incurred a puncture wound and 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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