Review Question - QID 214318

A 23-year-old man presents to the emergency department with weakness and trouble breathing. He states it started after dinner and has been worsening. The patient states he went on a long hike today with his friends where they were exposed to many insects. They cooked their lunch of raw chicken over a campfire. They then came home after the trip and went to a new Japanese restaurant that just opened up for dinner. After dinner, the patient started feeling numbness in his extremities and had a headache. He now says he feels weak and is having trouble taking deep breaths. His temperature is 98.7°F (37.1°C), blood pressure is 120/80 mmHg, pulse is 83/min, respirations are 15/min, and oxygen saturation is 93% on room air. Physical exam is notable for lower extremity and upper extremity weakness. The patient's FEV1 is 60% of normal. Which of the following is the most likely diagnosis?