A Case of Recovery from Suspended Animation caused by Puffer fish Poisoning: a case report
Journal of the Korean Society of Emergency Medicine
; : 465-470, 1998.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-218988
Responsible library:
WPRO
ABSTRACT
Tetrodotoxin is a neurotoxin produced by about 90 species of puffer fish and causes paralysis of central nervous system and peripheral nerves by blocking the movement of all monovalent cations. Ingestion of tetrodotoxin produces clinical manifestations such as paresthesias(within 10-45 min), vomiting, lightheadedness, salivation, muscle twitching, dysphagia, difficulty in speaking, convulsion and death that expressed by cardiopulmonary arrest with loss of brain stem reflex sometimes. Tetrodotoxin prevents or delays ischemia induced neuronal death by way of following 3 mechanisms. Firstly, it reduces the energy demand of the brain tissues. Secondly, it delays or even prevents anoxic depolarization. Finally, it diminishes ischemia induced cell swelling and cerebral edema. We report a case of puffer fish poisoning which presented with cardiopulmonary arrest and loss of brain stem reflex, but completely recovered by aggressive cardiopulmonary resuscitation.
Full text:
Available
Health context:
Neglected Diseases
/
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Zoonoses
/
Cardiovascular Disease
/
Digestive System Diseases
/
Epilepsy
Database:
WPRIM (Western Pacific)
Main subject:
Paralysis
/
Peripheral Nerves
/
Poisoning
/
Reflex
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Salivation
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Seizures
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Tetrodotoxin
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Vomiting
/
Brain
/
Brain Edema
Language:
Korean
Journal:
Journal of the Korean Society of Emergency Medicine
Year:
1998
Document type:
Article