Puffer Fish Poisoning: Bangladesh Perspective

Living reference work entry

Abstract

As a coastal country, puffer fish (tetrodotoxin) poisoning is quite common in Bangladesh, which sporadically involved many of the rive rain districts and so far brought considerable number of death. Puffer fish is also known as fugu (in Japan), toadfish, globefish, blowfish, balloonfish, etc. around the world. There are nearly 100 different species and 38 of them are found in Japan. Tetrodotoxin (TTX), a potent neurotoxin, was first isolated and named in 1909 in Japan. The fish belongs to the order Tetraodontidae which also includes ocean sunfish and porcupine fish. TTX is also found in the venom on the blue-ringed octopus available around Australia. So far there were eight outbreaks of TTX poisoning that happened in Bangladesh from 1988 to 2008 involving 247 people as victims with a death toll of 46 (18.6 %). Twenty (20) species of puffer fish are available in Bangladesh, of which two are freshwater puffer (Tetraodon patoca and Tetraodon cutcutia) and the rest are marine puffer (mainly Takifugu oblongus). Tetraodon patoca is commonly found in the southern part and Tetraodon cutcutia in the northwest, northeast, and northern part of the country. Out of the eight outbreaks, two were caused by freshwater species, five by marine species, and one by unidentified species. Most common clinical features of TTX poisoning include perioral numbness; tongue, face, and extremity paresthesia; salivation; nausea; vomiting; diarrhea; abdominal pain; vertigo; dizziness; etc. Unfortunately there is no specific antidote for TTX poisoning, and respiratory muscle paralysis is the main cause of death. Building awareness is the main way of preventing this type of poisoning.

Keywords

Action Potential Generation Coastal District Puff Fish Aluminum Phosphide Poisoning Incident 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media Dordrecht 2014

Authors and Affiliations

  1. 1.Department of MedicineSylhet M.A.G.Osmani Medical CollegeSylhetBangladesh
  2. 2.Department of MedicineDhaka Medical CollegeDhakaBangladesh

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