Puffer fish poisoning: summary of case reports from Thailand

Puffer fish poisoning is a common seafood poisoning. The problem is due to tetradotoxin (TTX) in puffer fish meat. This toxin is an important natural toxin[1]. It can be seen in many countries with seacoasts[2]. As noted by Hwang and Noguchi, “poisoning cases due to ingestion of TTX-containing marine animals, especially for puffer, have frequently occurred in Asia since a long time ago[3].” Also, Noguchi and Arakawa noted that “there have been many cases of human intoxication due to the ingestion of TTX-bearing puffer fish, mainly in Japan, China, and Taiwan, and several victims have died[4].” Here, the authors report summary of case reports from Thailand. 2. Materials and methods