5/28/2023 0 Comments Puffer fish fugu![]() ![]() Horowitz said he had a few questions about the patient's situation. "The message is clear: 'Don't eat pufferfish!'" Bill Atchison, a professor of pharmacology and toxicology at Michigan State University, who was not involved in the patients' care, told Live Science. "The patient's grandmother endured a much more benign clinical course and did not require ICU management." "Eventually, the patient's respiratory failure resolved, however, renal function did not recover and the patient remains dialysis-dependent today," the doctors wrote in the case report. However, his recovery wasn't straightforward while in the intensive care unit the patient developed pneumonia and his kidney problems flared, requiring him to go on dialysis. The man received medication that has been shown to help other people who had eaten bad fugu. In case he had botulism, they also gave him botulinum antitoxin, the doctors reported. Health care workers immediately gave the man medication to lower his high blood pressure and intubated him so that he would be able to breathe if the TTX paralyzed his breathing muscles. ![]() But because her fugu portion had been smaller, she had fewer symptoms: dizziness and leg weakness, the doctors said. The man's grandmother, who had also nibbled on the pufferfish, came with him to the hospital. When he came to the ER, the man was not in good shape he was throwing up, had weakness and difficulty speaking, and said that he had stomach pain, tearing chest pain and numb legs. The man had high blood pressure (possibly from his cocaine use) and chronic kidney disease, the doctors noted. Over the past few days, he had ingested cocaine and eaten canned foods, which made his physicians wonder whether foodborne botulism was at play, too. The 43-year-old man's case was more complex than a typical fugu-eater's, however. ![]()
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