A Familial Case of Tetramine Intoxication from Neptunea

고둥 섭취 후 발생한 일가족 테트라민 중독 1례

  • Lee, Chang-Won (Department of Emergency Medicine, Kangdong Sacred Heart Hospital, Hallym University) ;
  • Kwak, Jung-Keun (Department of Emergency Medicine, Kangdong Sacred Heart Hospital, Hallym University) ;
  • Park, Kyung-Choon (Department of Emergency Medicine, Kangdong Sacred Heart Hospital, Hallym University) ;
  • Ryu, Ji-Yeong (Department of Emergency Medicine, Kangdong Sacred Heart Hospital, Hallym University) ;
  • You, Ji-Young (Department of Emergency Medicine, Kangdong Sacred Heart Hospital, Hallym University) ;
  • Cho, Gyu-Chong (Department of Emergency Medicine, Kangdong Sacred Heart Hospital, Hallym University)
  • 이창원 (한림대학교 강동성심병원 응급의학과) ;
  • 곽정근 (한림대학교 강동성심병원 응급의학과) ;
  • 박경춘 (한림대학교 강동성심병원 응급의학과) ;
  • 유지영 (한림대학교 강동성심병원 응급의학과) ;
  • 유지영 (한림대학교 강동성심병원 응급의학과) ;
  • 조규종 (한림대학교 강동성심병원 응급의학과)
  • Published : 2007.06.13

Abstract

Certain parts of shellfish contain poisonous substances and cause intoxication. Tetramine toxin is found in the salivary gland of Neptunea. Three family members were admitted to the hospital with chief complaints of dizziness and blurred vision, gait disturbance, and spasms of the lower extremities after ingesting Neptunea. Physical examination revealed sluggish pupil light reflexes, but laboratory studies were normal. Symptoms were completely resolved within 24 hours after injection of atropine. We report a case of three patients with dizziness and blurred vision, gait disturbance, and spasms of the lower extremities due to Neptunea tetramine toxin.

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