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Cowfish (Umisuzume, Lactoria diaphana) Poisoning with Rhabdomyolysis


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Title: Cowfish (Umisuzume, Lactoria diaphana) Poisoning with Rhabdomyolysis
Authors: Shinzato, Takeaki / Furusu, Akira / Nishino, Tomoya / Abe, Katsushige / Kanda, Tetsuro / Maeda, Takahiro / Kohno, Shigeru
Issue Date: May-2008
Publisher: 日本内科学会 / The Japanese Society of Internal Medicine
Citation: Internal Medicine, vol.47(9), pp.853-856; 2008
Abstract: 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.
Keywords: acute renal failure / cowfish / palytoxin / rhabdomyolysis
URI: http://hdl.handle.net/10069/22578
ISSN: 09182918
DOI: 10.2169/internalmedicine.47.0847
Rights: Copyright (c) 2008 (社)日本内科学会
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/22578

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