Blow: a case of pufferfish intoxication in South Florida.
drugs: CNS (not psychiatric)
drugs: respiratory system
mechanical ventilation
neuromuscular disease
toxicology
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
07 Jun 2019
07 Jun 2019
Historique:
entrez:
10
6
2019
pubmed:
10
6
2019
medline:
9
1
2020
Statut:
epublish
Résumé
We report the case of a 43-year-old African American man with a history of hypertension and chronic kidney disease presenting with hypertensive emergency and bulbar paralysis in a descending fashion, which ultimately led to acute respiratory failure. He ingested pufferfish liver during the preceding 4 hours prior to presentation, as well as canned foods and cocaine over the prior 3 days. He had a complicated hospital course requiring intubation and mechanical ventilation, as well as the development of acute respiratory distress syndrome and acute renal failure requiring haemodialysis. This case exemplifies the classic manifestations of tetrodotoxin poisoning with some unique overlapping features, in the setting of an interesting social history.
Identifiants
pubmed: 31177198
pii: 12/6/e229272
doi: 10.1136/bcr-2019-229272
pmc: PMC6557316
pii:
doi:
Substances chimiques
Tetrodotoxin
4368-28-9
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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