Cowfish (Umisuzume, Lactoria diaphana) Poisoning with Rhabdomyolysis

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  • Shinzato Takeaki
    Department of Internal Medicine, Association of Far-off Islands Hospitals in Nagasaki Prefectural Goto Central Hospital
  • Furusu Akira
    The Second Department of Internal Medicine, Nagasaki University School of Medicine
  • Nishino Tomoya
    The Second Department of Internal Medicine, Nagasaki University School of Medicine
  • Abe Katsushige
    The Second Department of Internal Medicine, Nagasaki University School of Medicine
  • Kanda Tetsuro
    Department of Internal Medicine, Association of Far-off Islands Hospitals in Nagasaki Prefectural Goto Central Hospital
  • Maeda Takahiro
    Department of Island and Community Medicine, Nagasaki University Graduate School of Biomedical Sciences
  • Kohno Shigeru
    The Second Department of Internal Medicine, Nagasaki University School of Medicine

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抄録

A 40-year-old man developed weakness and myalgia of the shoulders and brachia nine hours after eating a cowfish (Umisuzume, Lactoria diaphana). A clinical symptom showed rhabdomyolysis and serum creatine phosphokinase was elevated to 180,000 IU/L on day 3. Cardiopulmonary arrest and acute renal failure developed after 59 hours and hemodiafiltration was performed. Cerebral death was diagnosed on day 9 and the patient died on day 16. The case has the characteristic clinical course of palytoxin poisoning, which has also been reported as blue humphead parrotfish poisoning from other kinds of fish.<br>

収録刊行物

  • Internal Medicine

    Internal Medicine 47 (9), 853-856, 2008

    一般社団法人 日本内科学会

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