Cowfish (Umisuzume, Lactoria diaphana) Poisoning with Rhabdomyolysis

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概要

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• 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.

• 日本内科学会の論文

著者

• Abe Katsushige

  The Second Department of Internal Medicine

• Furusu Akira

  The Second Department of Internal Medicine

• KANDA Tetsuro

  Department of Internal Medicine, Nagasaki City Hospital

• Maeda Takahiro

  Department Of Applied Chemistry Keio University

• Kohno Shigeru

  The Scientific Assembly For Infection And Tuberculosis Of The Japanese Respiratory Society

• Nishino Tomoya

  The Second Department of Internal Medicine, Nagasaki University School of Medicine

• Shinzato Takeaki

  Department of Nephrology, Sasebo General Hospital, Japan

• Shinzato Takeaki

  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

• Kanda Tetsuro

  Department of Internal Medicine, Association of Far-off Islands Hospitals in Nagasaki Prefectural Goto Central Hospital

• Abe Katsushige

  The Second Department of Internal Medicine, Nagasaki University School of Medicine

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