Paralytic shellfish poisoning - Revision history

ClaireLewis at 21:39, 28 September 2019

2019-09-28T21:39:12Z

← Older revision		Revision as of 21:39, 28 September 2019
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	==Clinical Features==		==Clinical Features==
	*Symptoms develop within minutes to hours of ingestion		*Symptoms develop within minutes to hours of ingestion
	*Typically neurologic symptoms only: [[Paresthesias]], [[dizziness]], [[ataxia]]. May progress to dysphagia and/or respiratory failure. <ref> Etheridge SM. Paralytic shellfish poisoning: seafood safety and human health perspectives. Toxicon 2010;56:108 </ref>		*Typically neurologic symptoms only: [[Paresthesias]], [[dizziness]], [[ataxia]]. May progress to [[dysphagia]] and/or [[respiratory failure]]. <ref> Etheridge SM. Paralytic shellfish poisoning: seafood safety and human health perspectives. Toxicon 2010;56:108 </ref>

	*Report any suspect cases to local department of health		*Report any suspect cases to local department of health
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	<references/>		<references/>
	[[Category:Environmental]]		[[Category:Environmental]]
			[[Category:Toxicology]]

Neil.m.young: Text replacement - " percent" to "%"

2017-11-10T15:03:08Z

Text replacement - " percent" to "%"

← Older revision		Revision as of 15:03, 10 November 2017
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	==Prognosis==		==Prognosis==
	*Mortality up to 12 ~~percent~~ if untreated <ref name = Mines >Mines D et al. Poisonings: food, fish, shellfish. Emerg Med Clin North Am 1997;15:157. </ref>		*Mortality up to 12% if untreated <ref name = Mines >Mines D et al. Poisonings: food, fish, shellfish. Emerg Med Clin North Am 1997;15:157. </ref>
	*Symptoms usually self resolved within hours to days		*Symptoms usually self resolved within hours to days

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

2016-07-25T08:00:30Z

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

← Older revision		Revision as of 08:00, 25 July 2016
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	{{Marine envenomation DDX}}		{{Marine envenomation DDX}}

	==~~Diagnosis~~==		==Evaluation==
	*Based on symptoms plus history of shellfish ingestion		*Based on symptoms plus history of shellfish ingestion

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

2016-07-08T03:42:30Z

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

← Older revision		Revision as of 03:42, 8 July 2016
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	*Based on symptoms plus history of shellfish ingestion		*Based on symptoms plus history of shellfish ingestion

	==~~Treatment~~==		==Management==
	*Supportive. Some cases may require [[intubation]] / [[mechanical ventilation]]		*Supportive. Some cases may require [[intubation]] / [[mechanical ventilation]]

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

2016-06-25T15:48:23Z

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

← Older revision		Revision as of 15:48, 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"

2016-03-22T14:47:04Z

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]]

Rossdonaldson1 at 20:17, 7 January 2016

2016-01-07T20:17:35Z

← Older revision		Revision as of 20:17, 7 January 2016
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	</ref>		</ref>

	==~~Diagnosis~~==		==Clinical Features==
	*Based on symptoms plus history of shellfish ingestion
	*Symptoms develop within minutes to hours of ingestion		*Symptoms develop within minutes to hours of ingestion
	*Typically neurologic symptoms only: Paresthesias, dizziness, ataxia. May progress to dysphagia and/or respiratory failure. <ref> Etheridge SM. Paralytic shellfish poisoning: seafood safety and human health perspectives. Toxicon 2010;56:108 </ref>		*Typically neurologic symptoms only: [[Paresthesias]], [[dizziness]], [[ataxia]]. May progress to dysphagia and/or respiratory failure. <ref> Etheridge SM. Paralytic shellfish poisoning: seafood safety and human health perspectives. Toxicon 2010;56:108 </ref>

	*Report any suspect cases to local department of health		*Report any suspect cases to local department of health
	==Differential Diagnosis==		==Differential Diagnosis==
	{{Marine envenomation DDX}}		{{Marine envenomation DDX}}

			==Diagnosis==
			*Based on symptoms plus history of shellfish ingestion

	==Treatment==		==Treatment==
	*Supportive. Some cases may require intubation / mechanical ventilation		*Supportive. Some cases may require [[intubation]] / [[mechanical ventilation]]

	==Prognosis==		==Prognosis==
	*Mortality up to 12 percent if untreated <ref name = Mines >Mines D et al. Poisonings: food, fish, shellfish. Emerg Med Clin North Am 1997;15:157. </ref>		*Mortality up to 12 percent if untreated <ref name = Mines >Mines D et al. Poisonings: food, fish, shellfish. Emerg Med Clin North Am 1997;15:157. </ref>
	*Symptoms usually self resolved within hours to days		*Symptoms usually self resolved within hours to days

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

Carpenj: /* Background */

2016-01-06T23:17:31Z

Background

← Older revision		Revision as of 23:17, 6 January 2016
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	==Background==		==Background==
	*Associated with red tides, but can occur independently		*Associated with red tides, but can occur independently
	*Caused by ingestion of contaminated shellfish which harbor toxin producing algae		*Caused by ingestion of contaminated shellfish which harbor toxin (heat stabile) producing algae
	*Shellfish typically from colder waters (New England, Pacific NW, Alaska)<ref> Centers for Disease Control and Prevention (CDC). Paralytic shellfish poisoning --- southeast Alaska, May-June 2011. MMWR Morb Mortal Wkly Rep 2011; 60:1554.		*Shellfish typically from colder waters (New England, Pacific NW, Alaska)<ref> Centers for Disease Control and Prevention (CDC). Paralytic shellfish poisoning --- southeast Alaska, May-June 2011. MMWR Morb Mortal Wkly Rep 2011; 60:1554.
	</ref>		</ref>

	==Diagnosis==		==Diagnosis==
	*Based on symptoms plus history of shellfish ingestion		*Based on symptoms plus history of shellfish ingestion

Carpenj at 23:16, 6 January 2016

2016-01-06T23:16:39Z

← Older revision		Revision as of 23:16, 6 January 2016
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	*Associated with red tides, but can occur independently		*Associated with red tides, but can occur independently
	*Caused by ingestion of contaminated shellfish which harbor toxin producing algae		*Caused by ingestion of contaminated shellfish which harbor toxin producing algae
	*Shellfish typically from colder waters (New England, Pacific NW, Alaska)		*Shellfish typically from colder waters (New England, Pacific NW, Alaska)<ref> Centers for Disease Control and Prevention (CDC). Paralytic shellfish poisoning --- southeast Alaska, May-June 2011. MMWR Morb Mortal Wkly Rep 2011; 60:1554.
			</ref>
	==Diagnosis==		==Diagnosis==
	*Based on symptoms plus history of shellfish ingestion		*Based on symptoms plus history of shellfish ingestion
	*Symptoms develop within minutes to hours of ingestion		*Symptoms develop within minutes to hours of ingestion
			*Typically neurologic symptoms only: Paresthesias, dizziness, ataxia. May progress to dysphagia and/or respiratory failure. <ref> Etheridge SM. Paralytic shellfish poisoning: seafood safety and human health perspectives. Toxicon 2010;56:108 </ref>

			*Report any suspect cases to local department of health
	==Differential Diagnosis==		==Differential Diagnosis==
	{{Marine envenomation DDX}}		{{Marine envenomation DDX}}

	==Treatment==		==Treatment==
	*~~Symptomatic~~		*Supportive. Some cases may require intubation / mechanical ventilation

	==Prognosis==		==Prognosis==
	*Mortality up to 12 percent if untreated <ref name = Mines >Mines D et al. Poisonings: food, fish, shellfish. Emerg Med Clin North Am 1997;15:157. </ref>		*Mortality up to 12 percent if untreated <ref name = Mines >Mines D et al. Poisonings: food, fish, shellfish. Emerg Med Clin North Am 1997;15:157. </ref>
			*Symptoms usually self resolved within hours to days
	==See Also==		==See Also==
	*[[Marine toxins and envenomations]]		*[[Marine toxins and envenomations]]

Carpenj at 23:10, 6 January 2016

2016-01-06T23:10:18Z

← Older revision		Revision as of 23:10, 6 January 2016
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	==Diagnosis==		==Diagnosis==
			*Based on symptoms plus history of shellfish ingestion
			*Symptoms develop within minutes to hours of ingestion

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Prognosis==		==Prognosis==
			*Mortality up to 12 percent if untreated <ref name = Mines >Mines D et al. Poisonings: food, fish, shellfish. Emerg Med Clin North Am 1997;15:157. </ref>
	==See Also==		==See Also==
	*[[Marine toxins and envenomations]]		*[[Marine toxins and envenomations]]