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Monday May 11, 2020 11:00 AM (GMT + 7)
Doctors (BS) at Can Tho Central General Hospital (BVDCDR) have just saved the lives of men who are seriously ill due to poisoning when they eat strange crabs.
On the morning of 11/5, BSCK2 Pham Thanh Phong, deputy director of the General Hospital of Can Tho Central Hospital (BVDKTTDCT), said that the hospital doctors had just saved critically ill patients from eating strange crabs, transferred from the Center Medical (Medical Center) Military Medical Con Con Dao (Ba Ria – Vung Tau).
The evil face that Mua bought him led to intoxication.
Previously at 9 a.m. At 8/5, BVDKTTDT received a call from the Con Dao Military Medical Center about the transfer to the hospital of patients of Le Van Mua (SN 1986, who lives in the Vinh Thanh district, Can Tho city), suffering from a stranger Crab poisoning Critically, the air-transferred deep coma is expected to land at 12 o’clock the same day at Can Tho airport.
After receiving the information, the hospital immediately proceeds to notify the relevant departments to prepare the patient for an emergency. The ambulance picked up the patient from the airport and transferred him directly to the General Hospital at 12.55 pm in a state of respiratory failure, deep coma, pupils on both sides of 4 mm, positive light reflex, tetraplegia. Preliminary judgment: food poisoning at 16 hours, the prognosis is extremely heavy.
Buying patients are being treated at GI Hospital.
Family members said the patient was working at Con Dao, after eating two strange crabs for 10 minutes, the feeling of numbness on the tongue, numbness in the hands extended to the legs, difficulty breathing … should actively vomit eating out and immediately go to the Con Dao Military Medical Center.
After that, the patient was in a coma, treated with intubation to support breathing, gastric lavage before the flight to BVTDC treatment.
After being admitted to the hospital, he was assigned mechanical ventilation and was quickly transferred to the Positive Recovery Department: antitoxic treatment.
After 2 hours of emergency, active medical treatment according to the BV antitoxic regimen, the patient begins to have a reflex response, recovers despite respiratory failure and needs mechanical support. On the morning of 11/5, the patient progressed well, awake, good contact, normal motor limbs.
According to the images taken by the patient’s relatives, the crab that the patient eats is scientifically known as Zosimus aeneus (devil’s face crab). The devil’s face often inhabits coral reefs from South Africa to the island of Hawaii. In Vietnam, this species is often found in waters from Da Nang to Ba Ria-Vung Tau.
Buy the patient’s health has stabilized.
The most recognizable characteristic of this crab is its bright color, characterized by brown spots on a light background on its shell. In particular, in the meat and shell of the demon’s face, there are large amounts of substances toxic to the nervous system, such as tetrodotoxin, saxitoxin, which can be fatal to humans if, unfortunately, they are ingested even in doses extremely low, about 1-2 micrograms. / kg of weight (approximately 0.5 grams of crab meat).
According to BSCK2 Duong Thien Phuoc (Head of the Positive Resuscitation Department), in the shell, this crab meat contains neurotoxins including Tetrodoxin and Saxitoxin. Both substances are rapidly absorbed from the gastrointestinal tract in 5-15 minutes, the maximum concentration reaches after 20 minutes and is mainly excreted in the urine. Eating just 0.5 grams of this crab meat can kill an adult.
“The most common symptom of devil face poisoning are signs of the nervous system, such as numbness in the extremities, numbness in the tongue, and nausea. Poisoned people quickly develop severe systemic symptoms, respiratory paralysis causing respiratory failure, and death. Currently, there is no specific antidote for saxitonin toxin on the devil’s face, ”said Dr. Phuoc.
Source: http://cand.com.vn/y-te/Nguoi-dan-ong-suyt-mat-mang-do-an-cua-la-594508/
Compared to the sea it has the appearance that it is easy to mistake it for the sam of the sea. The killer in marine species is tetrodotoxin, a …
