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  1. Fulltext Puffer fish poisoning: four case reports
    Lyn PCW
    Med J Malaysia, 1985 Mar;40(1):31-4.
    PMID: 3831731
    Four cases of puffer fish poisoning with one death in a family are described. Acute respiratory cessation probably resulted from both depression of the medullary centres and muscular paralysis by the neurotoxin. Artificial ventilation is the single most effective therapeutic measure and should be considered in all severe cases. Delay in treatment may result in death. Anticholinesterases are not known to confer any benefit. Medical staff in coastal hospitals should familiarise themselves with the management of puffer fish poisoning.
    Matched MeSH terms: Fishes, Poisonous*
  2. Fulltext Nine fatal cases of puffer fish poisoning in Sabah, Malaysia
    Kan SKP, Chan MKC, David P
    Med J Malaysia, 1987 Sep;42(3):199-200.
    PMID: 3506645
    The puffer fish belongs to the family Tetraodontidae and has one identifying characteristic which is the ability to inflate itself by gulping in large quantities of air or water. They are commonly found in estuarine and inshore water. The viscera (ovaries, testes and liver) of puffer fish contain varying amounts of extremely potent toxins [tetraodontoxin). The most violent form of fish poisoning is produced by ingestion of tetraodontoid or puffer-like fishes and this has been reported. The putftoad, Tetradon maculatum, has caused fatal poisoning? Despite the high toxicity of this group of fish, the meat is commonly consumed by some fisherman in Sabah without much morbidity. In Japan, puffer fish, called "fuqu" commands the highest prices in food fish and are prepared and sold in special restaurants where specially trained cooks are employed to prepare the "fuqu". Nevertheless it is still the primary cause of food poisoning in Japan especially among the lower socio-economic classes who fail to take the necessary precautions. In Sabah, four cases of puffer fish poisoning resulting in one death have been documented." We report herewith another incidence of puffer fish poisoning in which 18 persons from seven families were affected with nine deaths from two families.
    Matched MeSH terms: Fishes, Poisonous*
  3. Fulltext Stonefish envenomation of hand with impending compartment syndrome
    Tay TK, Chan HZ, Ahmad TS, Teh KK, Low TH, Wahab NA
    J Occup Med Toxicol, 2016;11:23.
    PMID: 27168760 DOI: 10.1186/s12995-016-0112-y
    BACKGROUND: Marine stings and envenomation are fairly common in Malaysia. Possible contact to various marine life occurs during diving, fishing and food handling. Even though majority of fish stings are benign, there are several venomous species such as puffer fish, scorpion fish, lionfish, stingray and stonefish that require urgent medical treatment. Stonefish is one of the most venomous fish in the world with potential fatal local and systemic toxicity effects to human.

    CASE PRESENTATION: We reported a case of stonefish sting complicated with impending compartment syndrome.

    CONCLUSIONS: Medical staff should be alert about the possibility of this potential emergency in standard management of stonefish stings.

    Matched MeSH terms: Fishes, Poisonous
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