Abstract
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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- Davis E. W. The ethnobiology of the Haitian zombi. J Ethnopharmacol. 1983 Nov;9(1):85–104. doi: 10.1016/0378-8741(83)90029-6. [DOI] [PubMed] [Google Scholar]
- Eastaugh J., Shepherd S. Infectious and toxic syndromes from fish and shellfish consumption. A review. Arch Intern Med. 1989 Aug;149(8):1735–1740. [PubMed] [Google Scholar]
- Kao C. Y. Tetrodotoxin, saxitoxin and their significance in the study of excitation phenomena. Pharmacol Rev. 1966 Jun;18(2):997–1049. [PubMed] [Google Scholar]
- Lange W. R. Puffer fish poisoning. Am Fam Physician. 1990 Oct;42(4):1029–1033. [PubMed] [Google Scholar]
- Mills A. R., Passmore R. Pelagic paralysis. Lancet. 1988 Jan 23;1(8578):161–164. doi: 10.1016/s0140-6736(88)92729-8. [DOI] [PubMed] [Google Scholar]
- Pond S. M., Lewis-Driver D. J., Williams G. M., Green A. C., Stevenson N. W. Gastric emptying in acute overdose: a prospective randomised controlled trial. Med J Aust. 1995 Oct 2;163(7):345–349. doi: 10.5694/j.1326-5377.1995.tb124625.x. [DOI] [PubMed] [Google Scholar]
- Rivera V. R., Poli M. A., Bignami G. S. Prophylaxis and treatment with a monoclonal antibody of tetrodotoxin poisoning in mice. Toxicon. 1995 Sep;33(9):1231–1237. doi: 10.1016/0041-0101(95)00060-y. [DOI] [PubMed] [Google Scholar]
- Sheumack D. D., Howden M. E., Spence I., Quinn R. J. Maculotoxin: a neurotoxin from the venom glands of the octopus Hapalochlaena maculosa identified as tetrodotoxin. Science. 1978 Jan 13;199(4325):188–189. doi: 10.1126/science.619451. [DOI] [PubMed] [Google Scholar]
- Sims J. K., Ostman D. C. Pufferfish poisoning: emergency diagnosis and management of mild human tetrodotoxication. Ann Emerg Med. 1986 Sep;15(9):1094–1098. doi: 10.1016/s0196-0644(86)80135-4. [DOI] [PubMed] [Google Scholar]
- Sorokin M. Puffer fish poisoning. Med J Aust. 1973 May 12;1(19):957–957. doi: 10.5694/j.1326-5377.1973.tb110825.x. [DOI] [PubMed] [Google Scholar]
- Sun K., Wat J., So P. Puffer fish poisoning. Anaesth Intensive Care. 1994 Jun;22(3):307–308. doi: 10.1177/0310057X9402200317. [DOI] [PubMed] [Google Scholar]
- Torda T. A., Sinclair E., Ulyatt D. B. Puffer fish (tetrodotoxin) poisoning: clinical record and suggested management. Med J Aust. 1973 Mar 24;1(12):599–602. doi: 10.5694/j.1326-5377.1973.tb110574.x. [DOI] [PubMed] [Google Scholar]