@article{ref1,
title="Lethal paralytic shellfish poisoning in Guatemala",
journal="American journal of tropical medicine and hygiene",
year="1990",
author="Rodrigue, Daniel C. and Etzel, R. A. and Hall, S. and de Porras, E. and Velasquez, O. H. and Tauxe, R. V. and Kilbourne, E. M. and Blake, P. A.",
volume="42",
number="3",
pages="267-271",
abstract="An outbreak of paralytic shellfish poisoning occurred in Champerico, on the Pacific coast of Guatemala, July-August 1987. Of 187 people affected with characteristic neurologic symptoms, 26 died. A case study implicated a species of clam, Amphichaena kindermani, harvested from local beaches as the vehicle of the neurotoxins (saxitoxins). Children less than 6 years old had a higher fatality rate (50%) than people greater than 18 years of age (7%). The minimum lethal dose for 1 child was estimated to have been 140 mouse units of toxin/kg body weight; thus children may be more sensitive to the saxitoxins than are adults. This is the first large outbreak of paralytic shellfish poisoning recognized in Guatemala.<p /><p>Language: en</p>",
language="en",
issn="0002-9637",
doi="",
url="http://dx.doi.org/"
}