Puffer fish poisoning: a potentially life‐threatening condition

Puffer fish poisoning has been documented rarely in Australia. It results from ingesting tetrodoxtoxin found in the liver, ovaries, intestines and skin of the fish. Over a recent 16-month period, 11 cases of puffer fish poisoning were reported to the NSW Poisons Information Centre. Symptoms of poisoning may include paralysis, respiratory failure, numbness, paraesthesia, nausea and ataxia. Health professionals should be aware of the condition so as to institute early and appropriate management.

[1]  D. Burke,et al.  Excitability of human axons , 2001, Clinical Neurophysiology.

[2]  N. Murray,et al.  Clinical evaluation of excitability measures in sensory nerve , 2001, Muscle & nerve.

[3]  H Bostock,et al.  Effects of temperature on the excitability properties of human motor axons. , 2001, Brain : a journal of neurology.

[4]  J. Kanchanapongkul Puffer fish poisoning: clinical features and management experience in 25 cases. , 2001, Journal of the Medical Association of Thailand = Chotmaihet thangphaet.

[5]  J. Pearn Neurology of ciguatera , 2001, Journal of neurology, neurosurgery, and psychiatry.

[6]  H. Bostock,et al.  Effects of membrane polarization and ischaemia on the excitability properties of human motor axons. , 2000, Brain : a journal of neurology.

[7]  D. Burke,et al.  Multiple measures of axonal excitability: A new approach in clinical testing , 2000, Muscle & nerve.

[8]  D Burke,et al.  Temperature dependence of excitability indices of human cutaneous afferents , 1999, Muscle & nerve.

[9]  R. Littlewood,et al.  Clinical findings in three cases of zombification , 1997, The Lancet.

[10]  C. C. Yang,et al.  Tetrodotoxin poisoning in Taiwan: an analysis of poison center data. , 1996, Veterinary and human toxicology.

[11]  Julian White,et al.  Handbook of Clinical Toxicology of Animal Venoms and Poisons , 1995 .

[12]  C. K. Wong,et al.  Puffer fish poisoning. , 1995, Journal of accident & emergency medicine.

[13]  Hugh Bostock,et al.  Action potentials and membrane currents in the human node of Ranvier , 1995, Pflügers Archiv.

[14]  N. Shibuya,et al.  Motor nerve conduction velocity is useful for patients with tetrodotoxin. , 1995, Anesthesia and analgesia.

[15]  H Shibasaki,et al.  Nerve conduction study of human tetrodotoxication , 1989, Neurology.

[16]  W. Anderson Tetrodotoxin and the zombi phenomenon. , 1988, Journal of ethnopharmacology.

[17]  J. Tibballs Severe Tetrodotoxic Fish Poisoning , 1988, Anaesthesia and intensive care.

[18]  S. Kan,et al.  Nine fatal cases of puffer fish poisoning in Sabah, Malaysia. , 1987, The Medical journal of Malaysia.

[19]  T. Torda,et al.  PUFFER FISH (TETRODOTOXIN) POISONING CLINICAL RECORD AND SUGGESTED MANAGEMENT , 1973, The Medical journal of Australia.

[20]  C. Duncan A CASE OF TOADFISH POISONING , 1951, The Medical journal of Australia.

[21]  S. Tsunenari,et al.  Puffer poisoning in Japan--a case report. , 1980, Journal of forensic sciences.

[22]  C. Y. Kao Tetrodotoxin, saxitoxin and their significance in the study of excitation phenomena. , 1966, Pharmacological reviews.

[23]  J. Burton,et al.  Injuries and Diseases in Australia attributable to Animals (except Insects). , 2022 .