Author:
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-
1.
Ahasan HA, Mamun AA, Karim SR, Bakar MA, Gazi EA, Bala CS, 2004. Paralytic complications of puffer fish (tetrodotoxin) poisoning. Singapore Med J 45: 73–74.
-
2.
Isbister GK, Son J, Wang F, Maclean CJ, Lin CS, Ujma J, Balit CR, Smith B, Milder DG, Kiernan MC, 2002. Puffer fish poisoning: a potentially life-threatening condition. Med J Aust 177: 650–653.
-
3.
Chowdhury FR, Ahasan HA, Al Mamun A, Rashid AK, Al Mahboob A, 2007. Puffer fish (Tetrodotoxin) poisoning: an analysis and outcome of six cases. Trop Doct 37: 263–264.
-
4.
Yu C-F, Yu PH-F, 2002. Are puffer fish more toxic in their spawning seasons. Marine Biology 140: 1053–1057.
-
5.
Do HK, Hamasaki K, Ohwada HK, Simidu U, Noguchi T, Shida Y, Kogurei K, 1993. Presence of tetrodotoxin and tetrodotoxin-producing bacteria in freshwater sediments. Appl Environ Microbiol 59: 3934–3937.
-
6.
Diener M, Christian B, Ahmed MS, Luckas B, 2007. Determination of tetrodotoxin and its analogs in the puffer fish Takifugu oblongus from Bangladesh by hydrophilic interaction chromatography and mass-spectrometric detection. Anal Bioanal Chem 389: 1997–2002.
-
7.
Chowdhury FR, Nazmul Ahasan HA, Mamunur Rashid AK, Al Mamun A, Khaliduzzaman SM, 2007. Tetrodotoxin poisoning: a clinical analysis, role of neostigmine and short-term outcome of 53 cases. Singapore Med J 48: 830–833.
-
8.
Lee MJ, Jeong DY, Kim WS, Kim HD, Kim CH, Park WW, Park YH, Kim KS, Kim HM, Kim DS, 2000. A tetrodotoxin-producing Vibrio strain, LM-1, from the puffer fish Fugu vermicularis radiatus. Appl Environ Microbiol 66: 1698–1701.
-
9.
Mahmud Y, Tanu MB, Noguchi T, 1999. First occurrence of a food poisoning incident due to ingestion of takifugu oblongus, along with a toxicological report on three marine puffer species in Bangladesh. Journal of the Food Hygienic Society of Japan 40: 473–480.
-
10.
Mahmud Y, Tanu MB, Takatani T, Asayama E, Arakawa O, Noguchi T, 2001. Chelonodon patoca, a highly toxic marine puffer in Japan. J Nat Toxins 10: 69–74.
-
11.
Zaman L, Arakawa O, Shimosu A, Onoue Y, 1997. Occurrence of paralytic shellfish poison in Bangladeshi freshwater puffers. Toxicon 35: 423–431.
-
12.
Ahasan HAMN, Mamun AA, Rasul CH, Roy PK, Paul GP, Bala CS, 2003. Puffer fish poisoning: a clinical analysis. Pakistan Journal of Medical Science 19: 29–32.
-
13.
Ahasan HA, Al Mamun A, Rasul CH, Roy PK, 2005. Puffer fish poisoning (tetrodotoxin) in Bangladesh: clinical profile and role of anticholinesterase drugs. Trop Doct 35: 235–236.
-
14.
Mahmud Y, Okada K, Takatani T, Kawatsu K, Hamano Y, Arakawa O, Noguchid T, 2002. Intra-tissue distribution of tetrodotoxin in two marine puffers Takifugu vermicularis and Chelonodon patoca. Toxicon 41: 13–18.
-
15.
Asian Development Bank (ADB), 2008. Asian Development Outlook 2008 Update. Available at: http://www.adb.org/Documents/Books/ADO/2008/update/. Accessed on August 2, 2010.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 38 | 38 | 11 |
| Full Text Views | 676 | 192 | 1 |
| PDF Downloads | 144 | 53 | 0 |
Multiple Outbreaks of Puffer Fish Intoxication in Bangladesh, 2008
Nusrat Homaira
Nusrat Homaira
Programme on Infectious Diseases and Vaccine Sciences, Health System and Infectious Disease Division, International Centre for Diarrheal Disease Research, Bangladesh (ICDDR, B), Dhaka, Bangladesh; Institute of Epidemiology Disease Control and Research (IEDCR), Dhaka, Bangladesh; Special Pathogens Branch, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia
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Mahmudur Rahman
Mahmudur Rahman
Programme on Infectious Diseases and Vaccine Sciences, Health System and Infectious Disease Division, International Centre for Diarrheal Disease Research, Bangladesh (ICDDR, B), Dhaka, Bangladesh; Institute of Epidemiology Disease Control and Research (IEDCR), Dhaka, Bangladesh; Special Pathogens Branch, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia
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Stephen P. Luby
Stephen P. Luby
Programme on Infectious Diseases and Vaccine Sciences, Health System and Infectious Disease Division, International Centre for Diarrheal Disease Research, Bangladesh (ICDDR, B), Dhaka, Bangladesh; Institute of Epidemiology Disease Control and Research (IEDCR), Dhaka, Bangladesh; Special Pathogens Branch, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia
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Mostafizur Rahman
Mostafizur Rahman
Programme on Infectious Diseases and Vaccine Sciences, Health System and Infectious Disease Division, International Centre for Diarrheal Disease Research, Bangladesh (ICDDR, B), Dhaka, Bangladesh; Institute of Epidemiology Disease Control and Research (IEDCR), Dhaka, Bangladesh; Special Pathogens Branch, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia
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Mohammad Sabbir Haider
Mohammad Sabbir Haider
Programme on Infectious Diseases and Vaccine Sciences, Health System and Infectious Disease Division, International Centre for Diarrheal Disease Research, Bangladesh (ICDDR, B), Dhaka, Bangladesh; Institute of Epidemiology Disease Control and Research (IEDCR), Dhaka, Bangladesh; Special Pathogens Branch, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia
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Labib Imran Faruque
Labib Imran Faruque
Programme on Infectious Diseases and Vaccine Sciences, Health System and Infectious Disease Division, International Centre for Diarrheal Disease Research, Bangladesh (ICDDR, B), Dhaka, Bangladesh; Institute of Epidemiology Disease Control and Research (IEDCR), Dhaka, Bangladesh; Special Pathogens Branch, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia
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Dawlat Khan
Dawlat Khan
Programme on Infectious Diseases and Vaccine Sciences, Health System and Infectious Disease Division, International Centre for Diarrheal Disease Research, Bangladesh (ICDDR, B), Dhaka, Bangladesh; Institute of Epidemiology Disease Control and Research (IEDCR), Dhaka, Bangladesh; Special Pathogens Branch, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia
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Shahana Parveen
Shahana Parveen
Programme on Infectious Diseases and Vaccine Sciences, Health System and Infectious Disease Division, International Centre for Diarrheal Disease Research, Bangladesh (ICDDR, B), Dhaka, Bangladesh; Institute of Epidemiology Disease Control and Research (IEDCR), Dhaka, Bangladesh; Special Pathogens Branch, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia
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Emily S. Gurley
Emily S. Gurley
Programme on Infectious Diseases and Vaccine Sciences, Health System and Infectious Disease Division, International Centre for Diarrheal Disease Research, Bangladesh (ICDDR, B), Dhaka, Bangladesh; Institute of Epidemiology Disease Control and Research (IEDCR), Dhaka, Bangladesh; Special Pathogens Branch, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia
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During April and June 2008, we investigated three outbreaks of marine puffer fish intoxication in three districts of Bangladesh (Narshingdi, Natore, and Dhaka). We also explored trade of marine puffer fish in Cox's Bazaar, a coastal area of the country. We identified 95 people who had consumed puffer fish; 63 (66%) developed toxicity characterized by tingling sensation in the body, perioral numbness, dizziness, and weakness, 14 of them died. All three outbreaks were caused by consumption of large (0.2–1.5 kg) marine puffer fish, sold in communities where people were unfamiliar with the marine variety of the fish and its toxicity. Coastal fishermen reported that some local businessmen distributed the fresh fish to non-coastal parts of the country, where people were unfamiliar with the larger variety, to make a quick profit. Lack of knowledge about marine puffer toxicity contributed to the outbreaks. Health communication campaigns will enhance people's knowledge and may prevent future outbreaks.
Author Notes
Authors' addresses: Nusrat Homaira, Stephen P. Luby, Labib Imran Faruque, Dawlat Khan, Shahana Parveen, and Emily S. Gurley, ICDDR, B, 68, Shaheed, Tajuddin Sarani, Mohakhali, Dhaka-1212, Bangladesh, E-mails: nhomaira@icddrb.org, sluby@icddrb.org, labibimran@icddrb.org, dawlat@icddrb.org, shahana@icddrb.org, and egurley@icddrb.org. Mahmudur Rahman, E-mail: mrahman@citechco.net. Mostafizur Rahman, E-mail: meghla_mph@yahoo.com. Mohammad Sabbir Haider, E-mail: sabbir_doc@yahoo.com.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Ahasan HA, Mamun AA, Karim SR, Bakar MA, Gazi EA, Bala CS, 2004. Paralytic complications of puffer fish (tetrodotoxin) poisoning. Singapore Med J 45: 73–74.
-
2.
Isbister GK, Son J, Wang F, Maclean CJ, Lin CS, Ujma J, Balit CR, Smith B, Milder DG, Kiernan MC, 2002. Puffer fish poisoning: a potentially life-threatening condition. Med J Aust 177: 650–653.
-
3.
Chowdhury FR, Ahasan HA, Al Mamun A, Rashid AK, Al Mahboob A, 2007. Puffer fish (Tetrodotoxin) poisoning: an analysis and outcome of six cases. Trop Doct 37: 263–264.
-
4.
Yu C-F, Yu PH-F, 2002. Are puffer fish more toxic in their spawning seasons. Marine Biology 140: 1053–1057.
-
5.
Do HK, Hamasaki K, Ohwada HK, Simidu U, Noguchi T, Shida Y, Kogurei K, 1993. Presence of tetrodotoxin and tetrodotoxin-producing bacteria in freshwater sediments. Appl Environ Microbiol 59: 3934–3937.
-
6.
Diener M, Christian B, Ahmed MS, Luckas B, 2007. Determination of tetrodotoxin and its analogs in the puffer fish Takifugu oblongus from Bangladesh by hydrophilic interaction chromatography and mass-spectrometric detection. Anal Bioanal Chem 389: 1997–2002.
-
7.
Chowdhury FR, Nazmul Ahasan HA, Mamunur Rashid AK, Al Mamun A, Khaliduzzaman SM, 2007. Tetrodotoxin poisoning: a clinical analysis, role of neostigmine and short-term outcome of 53 cases. Singapore Med J 48: 830–833.
-
8.
Lee MJ, Jeong DY, Kim WS, Kim HD, Kim CH, Park WW, Park YH, Kim KS, Kim HM, Kim DS, 2000. A tetrodotoxin-producing Vibrio strain, LM-1, from the puffer fish Fugu vermicularis radiatus. Appl Environ Microbiol 66: 1698–1701.
-
9.
Mahmud Y, Tanu MB, Noguchi T, 1999. First occurrence of a food poisoning incident due to ingestion of takifugu oblongus, along with a toxicological report on three marine puffer species in Bangladesh. Journal of the Food Hygienic Society of Japan 40: 473–480.
-
10.
Mahmud Y, Tanu MB, Takatani T, Asayama E, Arakawa O, Noguchi T, 2001. Chelonodon patoca, a highly toxic marine puffer in Japan. J Nat Toxins 10: 69–74.
-
11.
Zaman L, Arakawa O, Shimosu A, Onoue Y, 1997. Occurrence of paralytic shellfish poison in Bangladeshi freshwater puffers. Toxicon 35: 423–431.
-
12.
Ahasan HAMN, Mamun AA, Rasul CH, Roy PK, Paul GP, Bala CS, 2003. Puffer fish poisoning: a clinical analysis. Pakistan Journal of Medical Science 19: 29–32.
-
13.
Ahasan HA, Al Mamun A, Rasul CH, Roy PK, 2005. Puffer fish poisoning (tetrodotoxin) in Bangladesh: clinical profile and role of anticholinesterase drugs. Trop Doct 35: 235–236.
-
14.
Mahmud Y, Okada K, Takatani T, Kawatsu K, Hamano Y, Arakawa O, Noguchid T, 2002. Intra-tissue distribution of tetrodotoxin in two marine puffers Takifugu vermicularis and Chelonodon patoca. Toxicon 41: 13–18.
-
15.
Asian Development Bank (ADB), 2008. Asian Development Outlook 2008 Update. Available at: http://www.adb.org/Documents/Books/ADO/2008/update/. Accessed on August 2, 2010.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 38 | 38 | 11 |
| Full Text Views | 676 | 192 | 1 |
| PDF Downloads | 144 | 53 | 0 |