title: Cowfish (Umisuzume, Lactoria diaphana) poisoning with rhabdomyolysis.
abstract: A 40-year-old man developed weakness and myalgia of the shoulders and brachia nine hours after eating a cowfish (Umisuzume, Lactoria diaphana). A clinical symptom showed rhabdomyolysis and serum creatine phosphokinase was elevated to 180,000 IU/L on day 3. Cardiopulmonary arrest and acute renal failure developed after 59 hours and hemodiafiltration was performed. Cerebral death was diagnosed on day 9 and the patient died on day 16. The case has the characteristic clinical course of palytoxin poisoning, which has also been reported as blue humphead parrotfish poisoning from other kinds of fish.
authors.affiliation: Department of Internal Medicine, Association of Far-off Islands Hospitals in Nagasaki Prefectural Goto Central Hospital, Goto.
authors.forename: Takeaki
authors.initials: T
authors.lastname: Shinzato
authors.forename: Akira
authors.initials: A
authors.lastname: Furusu
authors.forename: Tomoya
authors.initials: T
authors.lastname: Nishino
authors.forename: Katsushige
authors.initials: K
authors.lastname: Abe
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Kanda
authors.forename: Takahiro
authors.initials: T
authors.lastname: Maeda
authors.forename: Shigeru
authors.initials: S
authors.lastname: Kohno
mesh_terms: D000178:Acrylamides / Q000506:poisoning*; D058186:Acute Kidney Injury / Q000139:chemically induced* / Q000628:therapy; D000328:Adult; D000818:Animals; D003064:Cnidarian Venoms / Q000506:poisoning*; D017809:Fatal Outcome; D017583:Hemodiafiltration; D006801:Humans; D008297:Male; D012206:Rhabdomyolysis / Q000139:chemically induced* / Q000628:therapy; D023721:Tetraodontiformes; D000095702:Polyether Toxins
chemical_list: D000178:Acrylamides; D003064:Cnidarian Venoms; C010272:palytoxin; D000095702:Polyether Toxins