Scombroid Fish Poisoning (see [[Scombroid]])

Etiology

• Scombroid fish (tuna, mackerel) and others

Onset

• Histamine reaction -> occurs within 30 min (up to a few hrs)

Clinical

• GI: abdominal cramps, N/V, diarrhea
• Neuro: flushing, headache, burning of mouth, pruritus
• Derm: urticaria
• Pulm: bronchospasm

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Paralytic-Neurotoxic Shellfish Poisoning (see [[Paralytic-Neurotoxic Shellfish Poisoning]])

Etiology

• xxx

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Cigua Toxin Poisoning (see [[Cigua Toxin Poisoning]])

Etiology

• 400 species of fish (90% of cases occur in Hawaii and Florida)

Onset

• Occurs within 5 hrs (3-9 hrs)

Clinical

• GI: abdominal cramps, N/V, diarrhea
• Neuro:
  • Parasthesias
  • Myalgias
  • Visual symptoms
  • CN palsies
• Cardiac:
  • Bradycardia
  • Hypotension

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Botulism (see [[Botulism]])

Etiology

• Canned foods
• Wounds

Onset

• Within 2-24 hrs

Clinical

• Neuro:
  • Bulbar involvement first -> symmetric descending paralysis
  • Absence of sensory findings
  • Normal-hyporeflexia
  • Normal MS
• GI: N/V

Treatment

• GI lavage to remove toxin
• Trivalent antitoxin

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Vibrio Vulnificus (see [[Vibrio Vulnificus]])

Etiology

• Raw shellfish (oysters)

High-risk groups

• Liver disease
• ETOH abuse
• Immunosupressed

Onset

• xxx

Clinical

• Sepsis
• GI
• Bullous skin lesions
• Absence of neuro symptoms

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Clostridium Perfringens (see [[Clostridium Perfringens]])

Etiology

• Meat products

Onset

• Within 7-19 hrs

Clinical

• GI
• Sepsis
• Hemolysis
• Absence of neuro symptoms

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