Open AccessJournal Article
Paralytic complications of puffer fish (tetrodotoxin) poisoning.
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TLDR
Since there is no specific treatment, people should be made aware of the potential risk of eating puffer fish, about the warning symptoms and signs of pufferFish poisoning, and when to seek medical help.Abstract:
Introduction: Puffer fish is available in Bangladesh and is occasionally eaten by some people. Ignorance regarding its proper cooking process may lead to serious health hazards, including fatality. Methods: An unusual catastrophic event happened recently in Khulna, Bangladesh that drew nationwide attention. Eight families were affected. Results: Thirty-seven patients were admitted with a history of consumption of puffer fish. Peri-oral paraesthesia (24), weakness of both lower limbs (22), paraesthesia all over the body (18), headache (15), difficulty in respiration (14), nausea and vomiting (8), blurring of vision (7), and vertigo (6) were common clinical presentations. Twentytwo patients developed ascending paralysis of limbs and involved the respiratory muscles in 17 patients. Eight patients died due to respiratory failure while the rest improved. Conclusion: Health personnel should have sufficient knowledge regarding the clinical manifestations, complications and management of puffer fish poisoning. During its preparation, organs that contain the highest level of tetrodotoxin should be removed. Since there is no specific treatment, people should be made aware of the potential risk of eating puffer fish, about the warning symptoms and signs of puffer fish poisoning, and when to seek medical help.read more
Citations
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Journal ArticleDOI
Tétrodotoxisme en Nouvelle-Calédonie. Cas cliniques
C. Maillaud,Yann Barguil,Hervé Le Coq Saint-Gilles,Marc Mikulski,Anne-Laure Guittonneau-Leroy,Hélène Pérès,Mohammed Nour +6 more
TL;DR: In this paper, the authors expose a paralysie generalisee flasque pouvant conduire au deces par detresse ventilatoire, which results from tetrodotoxine poisoning.
Selected Topics: Toxicology
TL;DR: This first European case of tetrodotoxin intoxication in a patient who ingested part of a trumpet shellfish from the Atlantic Ocean in Southern Europe is presented, alerts us to the possibility of a very harmful biotoxin in European coastal waters.
Akdeniz'in yeni toksini: Tetrodotoksin The new toxin of Mediterranean:Tetrodotoxin
Ali Riza,Deniz Ayas +1 more
TL;DR: The chemical structure of the toxin, features, history, biological origin, mechanism of action, poisoning and treatment methods, application fields of TTX, TTX levels of pufferfish species living in the Mediterranean are given.
Journal ArticleDOI
Development and validation of a specific and sensitive liquid chromatography tandem mass spectrometry method for determination of tetrodotoxin in human urine and its pharmacokinetic study
TL;DR: A rapid and specific method based on protein precipitation coupled to liquid chromatography tandem mass spectrometry was developed and successfully applied to a urinary excretion study after intravenous administration of TTX to healthy volunteers, which will be helpful for future pharmacological studies ofTTX.
References
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Journal Article
Puffer fish (tetrodotoxin) poisoning: clinical report and role of anti-cholinesterase drugs in therapy.
Journal ArticleDOI
Copper sulphate poisoning
TL;DR: A number of cases of copper sulphate poisoning from the southern region of Bangladesh are presented and there was a high mortality in comparison to other forms of poisoning.
Journal ArticleDOI
Anticholinesterase drugs in the treatment of tetrodotoxin poisoning.
TL;DR: Evidence that any kind of muscular activity while wearing the constricting rubber wet suits worn in shallow diving imposes an extra metabolic cost upon aerobic work of about 22% is presented.
Journal ArticleDOI
Management of puffer fish poisoning.
TL;DR: The roles of anticholinesterases and cysteine in the management of puffer fish poisoning remain uncertain and more clinical studies are required to confirm their therapeutic efficacy.
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