Severe Tetrodotoxic Fish Poisoning

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Ciguatera Fish Poisoning

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[Puffer fish poisoning].

We report three cases of a collective tetrodotoxin poisoning, after ingestion of puffer fish eggs. This neurotoxin is the most potent membrane stabilizer, blocking the nervous conduction and resulting in death from respiratory paralysis in case of massive ingestion. The father died at admission, the mother and her daughter presented an acute respiratory failure and a flaccid tetraplegia, with f...

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Puffer fish poisoning.

Chlorpromazine 25 mg intramuscular' Cyproheptadine 4 mg every 2-4 hours (0.5 mg/kg/day)8 Propranolol 20 mg three times a day by mouth' Methysergide 2-6 mg/24 hours" Benadryl 50 mg intramuscular'2 Clonazepam 0.5 mg intravenous" (D) The presence of at least three of altered symptoms, and lethal catatonia. There is considerable overlap with neuroleptic malignant syndrome, and many patients may be ...

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Ciguatera Fish Poisoning

We report three cases of ciguatera fish poisoning. One patient died secondary to respiratory failure. Two patients showed elevated muscle enzymes and one patients had an abnormal cervical spinal MRI. MRI findings have not been previously described. MRI findings explain the mechanism of the L’hermitte phenomenon (a common complaint) among these patients. Respiratory failure is rare in ciguatera ...

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Puffer fish poisoning.

Regarded by many as a delicacy, puffer fish (Lagocephalus scleratus) is a lethal source of food poisoning with a high mortality. It contains tetrodotoxin which can cause death by muscular paralysis, respiratory depression, and circulatory failure. A case of mild intoxication is reported and the literature reviewed.

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ژورنال

عنوان ژورنال: Anaesthesia and Intensive Care

سال: 1988

ISSN: 0310-057X,1448-0271

DOI: 10.1177/0310057x8801600216