[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 favourable outcome after 24 hours.
Ababou
A
A
Service d'anesthésie réanimation des urgences chirurgicales, hôpital Ibn Sina, Rabat, Maroc.
Mosadik
A
A
Squali
J
J
Fikri
K O
KO
Lazreq
C
C
Sbihi
A
A
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000818:Animals; D003389:Cranial Nerve Diseases / Q000209:etiology; D004531:Eggs / Q000506:poisoning*; D017809:Fatal Outcome; D005260:Female; D005400:Fishes, Poisonous; D005766:Gastrointestinal Contents; D006801:Humans; D007473:Ion Channels / Q000187:drug effects; D017136:Ion Transport / Q000187:drug effects; D008297:Male; D051379:Mice; D008875:Middle Aged; D009431:Neural Conduction / Q000187:drug effects; D010292:Paresthesia / Q000209:etiology; D011782:Quadriplegia / Q000209:etiology*; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy; D012133:Respiratory Paralysis / Q000209:etiology*; D013779:Tetrodotoxin / Q000506:poisoning*
D007473:Ion Channels; D013779:Tetrodotoxin