A combination of cocaine and toxic liver liver sends a person from Florida to the emergency room, according to a new report on the case. But eating is risky because the fish's liver contains a high concentration of lethal poison known as tetrodotoxin (TTX), which causes paralysis if swallowed. "said Dr. Zane Horowitz, medical director at the Oregon Poison Center at the Oregon University for Health Sciences, who did not deal with the man's case. "There are cooks in Japan who go through years of learning how to properly prepare this so as not to kill their clients." TTX is 1200 times more toxic than cyanide; far less than a teaspoon of it can kill a person. Once ingested, TTX blocks sodium channels with tension in certain nerve cells. When these nerve cells are blocked, the muscles can not shrink. Symptoms of TTT poisoning vary from feeling tingling, numbness, dizziness and nausea to muscle weakness, difficulty in breathing, paralysis and death. The case with the 43-year-old man, however, is more complex than the typical fugueoctor. Over the last few days, he has swallowed cocaine and eaten canned foods, which makes his doctors wonder whether botulism is also in play. doctors noted. When he came to the emergency room, the man was not in good shape; He raised, had a weakness and difficulty talking, and said there was pain in his stomach, tearing chest pains and numb legs. But as her fugu was less, she had fewer symptoms: dizziness and weakness of the feet, the doctors said. breathe if TTX paralyzes the breathing muscles. If they had botulism, they also gave him a botulinum antitoxin, the doctors say.
Man has been given drugs that have been shown to help others who have a bad fugue. But restoring it was not simple; while in the intensive care unit the patient developed pneumonia and his kidney problems flared, causing him to continue dialysis. "Depending on today," doctors say in the report. "The grandmother of the patient experiences a much better clinical course and does not require management of the intensive care unit."
"The message [from the case report] is clear:" Do not eat fish! "Bill Alesen, a professor of pharmacology and toxicology at the University of Michigan who did not take part in patient care, told Live Science."
Horowitz said he had several questions about the patient's situation, the report of the case does not tell how the man got the fish, although "Florida has funds to receive, such as underground markets and fishing," the doctors write.
If the man still had fish, then the state health department could tested for TTX, Horowitz said.If the fish has long since disappeared physicians could test the person for the presence of TTX only to ensure the diagnosis, he added. [27 Oddest Medical Cases]
A certain diagnosis is important because the person may have had another concomitant condition that is the cause of some his symptoms, says Horowitz, do not coincide with those of botulinum toxin, while this toxin can cause paralysis, people with botulism poisoning have symptoms such as difficulty swallowing, difficulty breathing and eyelid detachment, says Horowitz. The case report mentions that the man eats "canned food" that may contain a toxin but does not specify whether the food is preserved by a professional (in which case the botulism is unlikely) or an amateur, Horowitz said. Horowitz added that male renal dialysis is probably not caused by TTX or suspected botulism. On the contrary, the culprit was probably the cocaine that can cause blood pressure to increase the jump [Cocaine isn̵
The authors of the report can not be found for comment. The study was published online on June 7 in the journal BMJ Case Reports
Originally published on Live Science .