Outbreak of Puffer Fish Poisoning in Dhaka City

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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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[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.

Puffer fish poisoning occurs sporadically throughout the world, especially in the coastal areas. It contains tetrodotoxin which can cause death by muscular paralysis, respiratory depression, and circulatory failure. Early diagnosis and supportive management could ensure a safe and favorable outcome. In this review article, we have tried to explore the pathophysiology, clinical features, and tre...

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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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Management of puffer fish poisoning.

Sir,—I was interested in the recent review article on animal toxins by Karalliedde [1]. In Hong Kong puffer fish poisoning occurs sporadically. The most important management is early intubation and assisted ventilation for cases with respiratory failure and circulatory support, with fluid and inotropes for hypotensive patients. Although there is no specific antidote for the tetro-dotoxin, certa...

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ژورنال

عنوان ژورنال: Journal of Medicine

سال: 2017

ISSN: 2075-5384,1997-9797

DOI: 10.3329/jom.v19i1.34837