대한임상독성학회지 (Journal of The Korean Society of Clinical Toxicology)

  • 제15권1호
  • /
  • Pages.65-67
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  • 2017
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  • 1738-1320(pISSN)
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  • 2508-6332(eISSN)
대한임상독성학회 (Korean society of Clincal Toxicology)
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명주매물고둥에 의한 테트라민 중독

Two Cases of Tetramine Intoxication from Neptunea contricta

  • 이성유 (을지대학교 의과대학 응급의학교실) ;
  • 이장영 (을지대학교 의과대학 응급의학교실) ;
  • 이원석 (을지대학교 의과대학 응급의학교실) ;
  • 성원영 (을지대학교 의과대학 응급의학교실) ;
  • 서상원 (을지대학교 의과대학 응급의학교실)
  • Lee, Seong You (Department of Emergency Medicine, College of Medicine, Eulji University) ;
  • Lee, Jang Young (Department of Emergency Medicine, College of Medicine, Eulji University) ;
  • Lee, Won Suk (Department of Emergency Medicine, College of Medicine, Eulji University) ;
  • Sung, Won Young (Department of Emergency Medicine, College of Medicine, Eulji University) ;
  • Seo, Sang Won (Department of Emergency Medicine, College of Medicine, Eulji University)
  • 투고 : 2017.04.24
  • 심사 : 2017.05.17
  • 발행 : 2017.06.30
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초록

Even though Neptunea contricta appears similar to Batilus cornutus and Rapana venosa, they are different in tetramine content which inhibits the neuronal calcium channel. Therefore, mistaking Neptunea contricta for Batilus cornutus or Rapana venosa, can result in the occurrence of toxic symptoms. Three patients developed nausea, epigastric pain, chest pain, dizziness, blurred vision, dyspnea, hypertension and tachycardia after eating Neptunea contricta. Moreover, consumption of one only piece was sufficient to cause symptoms because each Neptunea contricta has 17.3 mg of tetramine. Accordingly, care should be taken when patients are consuming more than 5 pieces because toxic symptoms such as dyspnea can occur. Moreover, correct species identification is important because the quantity of tetramine varies among sea snail species. Finally, it is important to educate people to remove the salivary glands completely before consuming Neptunea contricta.

키워드

참고문헌

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