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After 4 days of treatment, the patient is awake, stopped breathing, and was transferred from the Emergency Recovery Department to the Department of General Internal Medicine for follow-up.
Before that, at noon 18.9, patients cook alone at home. After eating the stomach “mermaid” – which Mr. Q. also eats often – symptoms of numbness appeared in the mouth, tongue and then numbness of the face, which spread to the extremities and vomiting. Mr. Q. was taken to District 2 Hospital for an emergency.
After 10 minutes of hospitalization, Mr. Q. could only say “eat fish stomach rabbit face” and then fell into a coma, dilated his pupils … Immediately the doctors placed him in the endotracheal tube for mechanical ventilation and proceeded . dialysis.
1 week ago, 3 fishermen in Khanh Hoa also ate a strange type of snail, killing 1 person. The strange snail was identified as the ball snail and the toothed mud snail.
According to Dr. Le Quoc Hung, Head of the Department of Tropical Diseases at Cho Ray Hospital, tetrodotoxin (including xavitoxin) is a toxin that causes quite strong neurological complications, causing temporary binding and paralysis of the nervous system. menstruation, with typical symptoms of lip numbness or throat paresthesia.
These toxins are often found in muddy snails, some people mistakenly eat cone-shaped snails, moon snails, mistakenly eat sea snails, but they thought they were snails …
There are 4 levels of this intoxication:
Grade 1: The mildest is lip numbness, mouth numbness, tongue numbness and oral paraesthesia a few minutes (5 minutes) after eating, on average 30 minutes – 1 hour after eating.
Grade 2: lip numbness, oropharyngeal paresthesia, difficulty speaking, difficulty swallowing.
Grade 3: shortness of breath, seizures.
Grade 4: the most serious are pharyngeal edema, paralysis of the respiratory muscles, lack of speech, generalized muscle paralysis and rapid respiratory failure. Patients will die if it is not timely emergency due to respiratory failure.
However, according to Dr. Le Quoc Hung, the biggest problem is that these toxins are not destroyed by temperature, so even if cooked, eating poisonous shellfish cannot prevent poisoning.
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