2013, Number 3
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An Med Asoc Med Hosp ABC 2013; 58 (3)
Ingestion poisoning paralytic shellfish. Case report
Guerrero MT, Ron AAC, Saleme CEN, Montiel FH, Domínguez GLR
Language: Spanish
References: 17
Page: 192-195
PDF size: 178.59 Kb.
ABSTRACT
Paralytic poisoning shellfish consumption is a neurotoxic syndrome associated with the presence of saxitoxin and its analogues in more than 26 marine shellfish, mainly bivalve mollusks. In Mexico the most common are oysters, clams and mussels accumulate those pathological form of seasonal and potent neurotoxins produced by a type of phytoplankton called dinoflagellates ocean and massive proliferation of these species are called «red tide». Clinical manifestations may be so mild as numbness in face, lips, mouth and tongue, to severe cases with respiratory muscle paralysis causing respiratory failure and death. A case report of a patient with paralytic poisoning by ingestion of shellfish that progressed to severe respiratory failure and required mechanical ventilation and Critical Care Unit (CCU), which evolved satisfactorily with neurological integrity, being extubated and discharged from the CCU to 72 hours after admission to the hospital unit. Due to the high health risk posed by paralytic shellfish poisoning, we consider important to spread the information of this neurotoxic syndrome with evaluation and treatment.
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