Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
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Two Cases of Neurotoxin Tetramine Poisoning Following Ingestion of Buccinum Striatissinum

물레고동 섭취 후 발생한 테트라민 중독 2례

  • Kim, So Eun (Department of Emergency Medicine, Medical School, Chonbuk National University) ;
  • Lee, Jae Baek (Department of Emergency Medicine, Medical School, Chonbuk National University) ;
  • Jin, Young Ho (Department of Emergency Medicine, Medical School, Chonbuk National University) ;
  • Yoon, Jae Chol (Department of Emergency Medicine, Medical School, Chonbuk National University) ;
  • Jo, Si On (Department of Emergency Medicine, Medical School, Chonbuk National University) ;
  • Lee, Jeong Moon (Trauma Team, Chonbuk National University Hosptial) ;
  • Jeong, Tae Oh (Department of Emergency Medicine, Medical School, Chonbuk National University)
  • 김소은 (전북대학교 의학전문대학원 응급의학교실) ;
  • 이재백 (전북대학교 의학전문대학원 응급의학교실) ;
  • 진영호 (전북대학교 의학전문대학원 응급의학교실) ;
  • 윤재철 (전북대학교 의학전문대학원 응급의학교실) ;
  • 조시온 (전북대학교 의학전문대학원 응급의학교실) ;
  • 이정문 (전북대학교병원 외상팀) ;
  • 정태오 (전북대학교 의학전문대학원 응급의학교실)
  • Received : 2016.05.20
  • Accepted : 2016.06.05
  • Published : 2016.06.30
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Abstract

Some carnivorous gastropods have heat stable tetramine toxins in their salivary glands. This toxin is an autonomic ganglionic blocking agent that enables them to catch the prey easily by paralyzing their targets. Acute tetramine toxin poisoning in humans from eating whelks has been well described based on numerous cases, but is rare in Korea. Symptoms of tetramine poisoning include eyeball pain, blurred vision, headache, dizziness, muscular twitching, tingling of hands and feet, weakness, paralysis and sometimes collapse. Gastrointestinal symptoms, such as abdominal pain, nausea, and vomiting can also occur. However, intoxication is self-limiting and patients will usually recover in about 24 hours. Herein, we report 2 cases of tetramine poisoning after ingestion of Buccinum striatissinum as meat and soup.

Keywords

References

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