Neurotoxic shellfish poisoning - Revision history

Rossdonaldson1 at 18:02, 11 March 2021

2021-03-11T18:02:49Z

← Older revision		Revision as of 18:02, 11 March 2021
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	*Caused by brevetoxins secreted by dinoflagellates during algal blooms, which are then ingested by shellfish and/or aerosolized<ref name=James> James KJ et al. Shellfish toxicity: human health implications of marine algal toxins. Epidemiol Infect. 2010;138(7):927-40. </ref>		*Caused by brevetoxins secreted by dinoflagellates during algal blooms, which are then ingested by shellfish and/or aerosolized<ref name=James> James KJ et al. Shellfish toxicity: human health implications of marine algal toxins. Epidemiol Infect. 2010;138(7):927-40. </ref>

	==~~Evaluation~~==		==Clinical Features==
	*Based on symptoms and history of ingesting shellfish or proximity to red tide		===Ingested===
			*Similar to [[ciguatera]]
	*If Ingested		*GI symptoms - [[vomiting]], [[diarrhea]], [[abdominal pain\|abdominal cramping]]; usually within 30 minutes to 3 hours of ingestion
	**Similar to [[ciguatera]]		*Neurologic symptoms - [[paresthesia]], [[dizziness]], [[ataxia]]. Can also see hot/cold temperature sensation reversal <ref name=Morris>Morris PD et al. Clinical and epidemiological features of neurotoxic shellfish poisoning in North Carolina. Am J Public Health. 1991;81(4):471-4. </ref>
	**GI symptoms - [[vomiting]], [[diarrhea]], [[abdominal pain\|abdominal cramping]]; usually within 30 minutes to 3 hours of ingestion
	**Neurologic symptoms - [[paresthesia]], [[dizziness]], [[ataxia]]. Can also see hot/cold temperature sensation reversal <ref name=Morris>Morris PD et al. Clinical and epidemiological features of neurotoxic shellfish poisoning in North Carolina. Am J Public Health. 1991;81(4):471-4. </ref>

	*If Inhaled		===Inhaled===
	**Upper respiratory tract irritation, [[rhinorrhea]], [[bronchoconstriction]]		*Upper respiratory tract irritation, [[rhinorrhea]], [[bronchoconstriction]]
	**Generally affects patients with chronic respiratory disease (ie asthma/COPD) <ref> Fleming LE et al. Aerosolized red-tide toxins (brevetoxins) and asthma. Chest 2007;131:187. </ref>		*Generally affects patients with chronic respiratory disease (ie asthma/COPD) <ref> Fleming LE et al. Aerosolized red-tide toxins (brevetoxins) and asthma. Chest 2007;131:187. </ref>

	==Differential Diagnosis==		==Differential Diagnosis==
	{{Marine envenomation DDX}}		{{Marine envenomation DDX}}

			==Evaluation==
			*Based on symptoms and history of ingesting shellfish or proximity to red tide

	==Management==		==Management==
	*Symptomatic		*Symptomatic

			==Disposition==

	==Prognosis==		==Prognosis==

Rossdonaldson1: /* Background */

2021-03-11T18:01:24Z

Background

← Older revision		Revision as of 18:01, 11 March 2021
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	==Background==		==Background==
			[[File:Oysters of the day 01.jpg\|thumb\|Filter-feeding mollusks, such as oysters, concentrate dinoflagellates and their toxins in their flesh due to the way they feed. When the shellfish are then eaten by humans, high doses of the toxins may be consumed.]]
	*Associated with red tide		*Associated with red tide
	*Seen in Southeast US, Gulf of Mexico, Caribbean, New Zealand		*Seen in Southeast US, Gulf of Mexico, Caribbean, New Zealand

ClaireLewis: /* Evaluation */

2019-10-22T20:29:27Z

Evaluation

← Older revision		Revision as of 20:29, 22 October 2019
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	*If Inhaled		*If Inhaled
	**Upper respiratory tract irritation, rhinorrhea, [[bronchoconstriction]]		**Upper respiratory tract irritation, [[rhinorrhea]], [[bronchoconstriction]]
	**Generally affects patients with chronic respiratory disease (ie asthma/COPD) <ref> Fleming LE et al. Aerosolized red-tide toxins (brevetoxins) and asthma. Chest 2007;131:187. </ref>		**Generally affects patients with chronic respiratory disease (ie asthma/COPD) <ref> Fleming LE et al. Aerosolized red-tide toxins (brevetoxins) and asthma. Chest 2007;131:187. </ref>

ClaireLewis at 21:27, 28 September 2019

2019-09-28T21:27:31Z

← Older revision		Revision as of 21:27, 28 September 2019
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	*If Ingested		*If Ingested
	**Similar to [[ciguatera]]		**Similar to [[ciguatera]]
	**GI symptoms - vomiting, diarrhea, abdominal cramping; usually within 30 minutes to 3 hours of ingestion		**GI symptoms - [[vomiting]], [[diarrhea]], [[abdominal pain\|abdominal cramping]]; usually within 30 minutes to 3 hours of ingestion
	**Neurologic symptoms - ~~parethesias~~, dizziness, ataxia. Can also see hot/cold temperature sensation reversal <ref name=Morris>Morris PD et al. Clinical and epidemiological features of neurotoxic shellfish poisoning in North Carolina. Am J Public Health. 1991;81(4):471-4. </ref>		**Neurologic symptoms - [[paresthesia]], [[dizziness]], [[ataxia]]. Can also see hot/cold temperature sensation reversal <ref name=Morris>Morris PD et al. Clinical and epidemiological features of neurotoxic shellfish poisoning in North Carolina. Am J Public Health. 1991;81(4):471-4. </ref>

	*If Inhaled		*If Inhaled
	**Upper respiratory tract irritation, rhinorrhea, bronchoconstriction		**Upper respiratory tract irritation, rhinorrhea, [[bronchoconstriction]]
	**Generally affects patients with chronic respiratory disease (ie asthma/COPD) <ref> Fleming LE et al. Aerosolized red-tide toxins (brevetoxins) and asthma. Chest 2007;131:187. </ref>		**Generally affects patients with chronic respiratory disease (ie asthma/COPD) <ref> Fleming LE et al. Aerosolized red-tide toxins (brevetoxins) and asthma. Chest 2007;131:187. </ref>

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	==Prognosis==		==Prognosis==
	*Most patients fully recover within 72 hours		*Most patients fully recover within 72 hours

	==See Also==		==See Also==
	*[[Marine toxins and envenomations]]		*[[Marine toxins and envenomations]]

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-22T13:27:39Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 13:27, 22 July 2016
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	*Caused by brevetoxins secreted by dinoflagellates during algal blooms, which are then ingested by shellfish and/or aerosolized<ref name=James> James KJ et al. Shellfish toxicity: human health implications of marine algal toxins. Epidemiol Infect. 2010;138(7):927-40. </ref>		*Caused by brevetoxins secreted by dinoflagellates during algal blooms, which are then ingested by shellfish and/or aerosolized<ref name=James> James KJ et al. Shellfish toxicity: human health implications of marine algal toxins. Epidemiol Infect. 2010;138(7):927-40. </ref>

	==~~Diagnosis~~==		==Evaluation==
	*Based on symptoms and history of ingesting shellfish or proximity to red tide		*Based on symptoms and history of ingesting shellfish or proximity to red tide

Neil.m.young: Text replacement - "==Treatment==" to "==Management=="

2016-07-07T21:06:08Z

Text replacement - "==Treatment==" to "==Management=="

← Older revision		Revision as of 21:06, 7 July 2016
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	{{Marine envenomation DDX}}		{{Marine envenomation DDX}}

	==~~Treatment~~==		==Management==
	*Symptomatic		*Symptomatic

Neil.m.young: Text replacement - "==Source== " to "==References== "

2016-06-25T16:18:07Z

Text replacement - "==Source== <references/>" to "==References== <references/>"

← Older revision		Revision as of 16:18, 25 June 2016
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	*[[Marine toxins and envenomations]]		*[[Marine toxins and envenomations]]

	==~~Source~~==		==References==
	<references/>		<references/>
	[[Category:Environmental]]		[[Category:Environmental]]

Ostermayer: Text replacement - "Category:Environ" to "Category:Environmental"

2016-03-22T14:47:07Z

Text replacement - "Category:Environ" to "Category:Environmental"

← Older revision		Revision as of 14:47, 22 March 2016
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	==Source==		==Source==
	<references/>		<references/>
	[[Category:~~Environ~~]]		[[Category:Environmental]]

Carpenj: /* Diagnosis */

2016-01-06T23:01:20Z

Diagnosis

← Older revision		Revision as of 23:01, 6 January 2016
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	**Similar to [[ciguatera]]		**Similar to [[ciguatera]]
	**GI symptoms - vomiting, diarrhea, abdominal cramping; usually within 30 minutes to 3 hours of ingestion		**GI symptoms - vomiting, diarrhea, abdominal cramping; usually within 30 minutes to 3 hours of ingestion
	**Neurologic symptoms - parethesias, dizziness, ataxia. Can also see hot/cold temperature sensation reversal <ref name=Morris>Morris PD et al. Clinical and epidemiological features of neurotoxic shellfish poisoning in North Carolina. Am J Public Health. 1991;81(4):471-4.		**Neurologic symptoms - parethesias, dizziness, ataxia. Can also see hot/cold temperature sensation reversal <ref name=Morris>Morris PD et al. Clinical and epidemiological features of neurotoxic shellfish poisoning in North Carolina. Am J Public Health. 1991;81(4):471-4. </ref>

	*If Inhaled		*If Inhaled

Carpenj at 23:00, 6 January 2016

2016-01-06T23:00:48Z

← Older revision		Revision as of 23:00, 6 January 2016
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	*Associated with red tide		*Associated with red tide
	*Seen in Southeast US, Gulf of Mexico, Caribbean, New Zealand		*Seen in Southeast US, Gulf of Mexico, Caribbean, New Zealand
	*Caused by brevetoxins secreted by dinoflagellates during algal blooms, which are then ingested by shellfish and/or aerosolized<ref name=~~review~~> James KJ et al. Shellfish toxicity: human health implications of marine algal toxins. Epidemiol Infect. 2010;138(7):927-40. </ref>		*Caused by brevetoxins secreted by dinoflagellates during algal blooms, which are then ingested by shellfish and/or aerosolized<ref name=James> James KJ et al. Shellfish toxicity: human health implications of marine algal toxins. Epidemiol Infect. 2010;138(7):927-40. </ref>

	==Diagnosis==		==Diagnosis==
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	**Similar to [[ciguatera]]		**Similar to [[ciguatera]]
	**GI symptoms - vomiting, diarrhea, abdominal cramping; usually within 30 minutes to 3 hours of ingestion		**GI symptoms - vomiting, diarrhea, abdominal cramping; usually within 30 minutes to 3 hours of ingestion
	**Neurologic symptoms - parethesias, dizziness, ataxia. Can also see hot/cold temperature sensation reversal		**Neurologic symptoms - parethesias, dizziness, ataxia. Can also see hot/cold temperature sensation reversal <ref name=Morris>Morris PD et al. Clinical and epidemiological features of neurotoxic shellfish poisoning in North Carolina. Am J Public Health. 1991;81(4):471-4.

	*If Inhaled		*If Inhaled
	**Upper respiratory tract irritation, rhinorrhea, bronchoconstriction		**Upper respiratory tract irritation, rhinorrhea, bronchoconstriction
			**Generally affects patients with chronic respiratory disease (ie asthma/COPD) <ref> Fleming LE et al. Aerosolized red-tide toxins (brevetoxins) and asthma. Chest 2007;131:187. </ref>

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Prognosis==		==Prognosis==
			*Most patients fully recover within 72 hours
	==See Also==		==See Also==
	*[[Marine toxins and envenomations]]		*[[Marine toxins and envenomations]]