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Case of Paraesthesia Developed After Consuming Pufferfish
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Case Report
VOLUME: 19 ISSUE: 3
P: 144-147
September 2021

Case of Paraesthesia Developed After Consuming Pufferfish

J Turk Soc Intens Care 2021;19(3):144-147
DOI: 10.4274/tybd.galenos.2021.07279
Mehmet Murat Çelik 1
Levent Özdemir 2
Nazlı Deniz Ateş 3
Resul Akyol 1
Hakan Karabay 1
Adem Çiftci 1
Ömer Faruk Çelik 4
1. Dörtyol Devlet Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Hatay, Türkiye
2. Dörtyol Devlet Hastanesi, Göğüs Hastalıkları Kliniği, Hatay, Türkiye
3. Tarsus Devlet Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Mersin Türkiye
4. Sanko Üniversite Hastanesi, Fizik Tedavi ve Rehabilitasyon Kliniği, Gaziantep, Türkiye
5. Dörtyol Devlet Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Hatay, Türkiye
6. Dörtyol Devlet Hastanesi, Göğüs Hastalıkları Kliniği, Hatay, Türkiye
7. Tarsus Devlet Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Mersin, Türkiye
8. Sanko Üniversite Hastanesi, Fizik Tedavi ve Rehabilitasyon Kliniği, Gaziantep, Türkiye
9. Dörtyol Devlet Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Hatay, Türkiye
10. Dörtyol Devlet Hastanesi, Göğüs Hastalıkları Kliniği, Hatay, Türkiye
11. Tarsus Devlet Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Mersin, Türkiye
12. Sanko Üniversite Hastanesi, Fizik Tedavi ve Rehabilitasyon Kliniği, Gaziantep, Türkiye
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No information available
Received Date: 28.05.2020
Accepted Date: 09.03.2021
Publish Date: 26.08.2021
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ABSTRACT

Pufferfish, also known globally as ballfish, globefish and toadfish, is a fish species belonging to the Tetrodontiformes family. Following the consumption of this fish, tetrodotoxin (TTX), a type of neurotoxin, causes a rare type of intoxication. This has mostly been observed in the Southeast Asian coasts, Taiwan and Japan; however, it has also been observed in the Mediterranean coastal countries in recent years. Not all species of porcupine fish are toxic; some contain only mild venom. Approximately 28 TTX analogues have been recorded to date, and some have been identified in marine organisms. In addition, TTX toxicity varies according to sex, seasons and geographic regions. In humans, TTX blocks sodium channels in the cell membrane, inducing numbness in the tongue and lips, dizziness, vomiting, tingling and numbness in the extremities, tachycardia, hypotension and paralysis. This case report aimed to provide information about the risks, toxicity and treatment methods in people exposed to TTX.

Keywords: Pufferfish poisoning, tetrodotoxin, intoxication, paraesthesia

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