Infections and Toxic Syndromes From Fish and Shellfish Consumption

1990; American Medical Association; Volume: 150; Issue: 11 Linguagem: Inglês

10.1001/archinte.1990.00390220149048

ISSN

1538-3679

Autores

Gary B. Glavin,

Tópico(s)

Alcoholism and Thiamine Deficiency

Resumo

To the Editor .—A recent review appearing in the August 1989 issue of theArchives 1 provided an excellent overview of syndromes induced by consumption of a variety of shellfish. However, we would like to point out that a serious outbreak of an unusual and hitherto unknown shellfish toxininduced syndrome that occurred in eastern Canada in 1987 was omitted from that review. We believe that it deserves mention here. Several hundred persons in the Montreal (Quebec, Canada) area became ill after eating cultured blue mussels from Prince Edward Island (Canada). This syndrome was characterized by severe nausea, gastrointestinal bleeding, and a severe and protracted central nervous system upset that included confusion, dizziness, seizures, coma, persistent memory loss, and, in several cases, death. 2 We have named this phenomenon neurovisceral toxic syndrome, 3 in view of its prominent gastrointestinal and central nervous system features. The offending agent was identified as the

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