Cowfish (Umisuzume, Lactoria diaphana) Poisoning with Rhabdomyolysis

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 fail...

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Bibliographic Details
Published inInternal Medicine Vol. 47; no. 9; pp. 853 - 856
Main Authors Shinzato, Takeaki, Furusu, Akira, Nishino, Tomoya, Abe, Katsushige, Kanda, Tetsuro, Maeda, Takahiro, Kohno, Shigeru
Format Journal Article
LanguageEnglish
Published Japan The Japanese Society of Internal Medicine 01.01.2008
Subjects
Acrylamides - poisoning
Acute Kidney Injury - chemically induced
Acute Kidney Injury - therapy
acute renal failure
Adult
Animals
Cnidarian Venoms - poisoning
cowfish
Fatal Outcome
Hemodiafiltration
Humans
Male
palytoxin
rhabdomyolysis
Rhabdomyolysis - chemically induced
Rhabdomyolysis - therapy
Tetraodontiformes
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Summary: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.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.47.0847