TY  - JOUR
PY  - 2019//
TI  - Blow: a case of pufferfish intoxication in South Florida
JO  - BMJ case reports
A1  - Almeida, Patricia
A1  - Diaz, Raiko
A1  - Hernández, Félix
A1  - Ferrer, Gustavo
SP  - e229272
EP  - e229272
VL  - 12
IS  - 6
N2  - We report the case of a 43-year-old African American man with a history of hypertension and chronic kidney disease presenting with hypertensive emergency and bulbar paralysis in a descending fashion, which ultimately led to acute respiratory failure. He ingested pufferfish liver during the preceding 4 hours prior to presentation, as well as canned foods and cocaine over the prior 3 days. He had a complicated hospital course requiring intubation and mechanical ventilation, as well as the development of acute respiratory distress syndrome and acute renal failure requiring haemodialysis. This case exemplifies the classic manifestations of tetrodotoxin poisoning with some unique overlapping features, in the setting of an interesting social history.<br><br>© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.<p />  <p>Language: en</p>
LA  - en
SN  - 1757-790X
UR  - http://dx.doi.org/10.1136/bcr-2019-229272
ID  - ref1
ER  -