These species inhabit the shallow waters of Porcupine fishes, and fugu, which are among the most poisonous ofĪll marine life (1). Of Environmental Hazards and Health Effects, National Center forĮnvironmental Health Div of Field Epidemiology, EpidemiologyĮditorial Note: The order Tetraodontoidea includes ocean sunfishes, Przekwas, R Clark, MD, San Diego Regional Poison Center, Univ ofĬalifornia at San Diego Medical Center M Ginsberg, MD, San DiegoĬounty Health Dept S Waterman, MD, State Epidemiologist,Ĭalifornia Dept of Health Svcs. Reported by: P Tanner, San Diego Dept of Environmental Health G Product manufacturer to assist in their local follow-up SDEH contacted health authorities in JapanĪnd relayed the product label information for identification of the The chef who brought the fugu from Japan failed to declare Gradually resolved, and the men were discharged the following day Hydration, gastric lavage, and activated charcoal. Men was based on clinical presentation in the ED and the history of Minute respiratory rate, 22 per minute temperature, 97.2 F (36.2Ĭ) and oxygen saturation, 97% on room air.Ī presumptive diagnosis of tetrodotoxin poisoning in all three At theĮD, his blood pressure was 129/75 mmHg heart rate, 84 beats per Approximately 20 minutes after eating theįugu, he had onset of dizziness and mild chest tightness. A 39-year-old man ate approximately 1/4 oz of fuguĪfter eating a full meal. Minute and oxygen saturation, 96% on room air.Ĭase 3. MmHg heart rate, 112 beats per minute respiratory rate, 20 per At the ED, his blood pressure was 167/125 While eating his thirdīite, he noticed tingling in his tongue and right side of his mouthįollowed by a "light feeling," anxiety, and "thoughts of dying." Heįelt weak and collapsed. (approximately 1 1/2 oz) over 2-3 minutes. A 32-year-old man ate three bites of fugu Temperature, 99.3 F (37.4 C) and oxygen saturation, 99% on roomĬase 2. Rate, 117 beats per minute respiratory rate, 22 per minute On examination in the ED, his blood pressure was 150/90 mmHg heart He had onset of tingling in his mouth and lips followed byĭizziness, fatigue, headache, a constricting feeling in his throat,ĭifficulty speaking, tightness in his upper chest, facial flushing, A 23-year-old man ate a piece of fugu "the size of a This report summarizes the investigation of theseĬases by the San Diego Department of Environmental Health (SDEH)Īnd the Food and Drug Administration (FDA).Ĭase 1. Three persons were transported by ambulance to a local emergencyĭepartment (ED). Symptoms began approximately 3-20 minutes after ingestion, and all Minimal, ranging from approximately 1/4 to 1 1/2 oz. (puffer fish) brought from Japan by a co-worker as a prepackaged, Occurred among chefs in California who shared contaminated fugu ![]() On April 29, 1996, three cases of tetrodotoxin poisoning ![]() Transported from Japan - California, 1996 Tetrodotoxin Poisoning Associated With Eating Puffer Fish For assistance, please send e-mail to: Type 508 Accommodation and the title of the report in the subject line of e-mail. Persons using assistive technology might not be able to fully access information in this file.
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