Toxicon : official journal of the International Society on Toxinology
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A near fatal case of ciguatera-related intoxication following consumption of smoked Decapterus macrosoma is documented. In addition to some of the hallmark symptoms of ciguatera poisoning, the patient exhibited acute respiratory distress and severe muscle spasms. Laboratory results showed large elevations in a number of blood enzymes, indicative of muscle damage. The responsible agent was extracted from corresponding fish samples and identified as palytoxin.
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The documented case of a human fatality resulting from envenomation by Physalia physalis is presented. Although this case is only the second scientifically recorded fatality, several similar cases have been suspected.