Haddad Vidal, Moura Regina
Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brasil.
Rev Inst Med Trop Sao Paulo. 2007 Jan-Feb;49(1):59-61. doi: 10.1590/s0036-46652007000100011.
The authors report neuromuscular manifestations in a 45-year-old woman after consuming octopus meat (Octopus sp.). The patient presented malaise, paresthesias in perioral and extremity areas, intense muscular weakness and arterial hypotension, followed by severe itch and disseminated cutaneous rash. Gastrointestinal manifestations and fever were not observed, reducing the probability of alimentary poisoning. The presence of muscular and neurological symptoms suggests neurotoxin action, which could have been ingested by the victim from the octopus salivary glands or from an accumulation of toxins in the meat, or by an unknown mechanism. There is little known about toxins of the Octopus genus and this communication is important alert to the possibility of poisoning in humans that eat octopus and its differentiation from alimentary poisonings arising from incorrect conservation of seafood.
作者报告了一名45岁女性在食用章鱼(章鱼属)肉后出现的神经肌肉表现。患者出现不适、口周和四肢感觉异常、严重肌无力和动脉低血压,随后出现严重瘙痒和弥漫性皮疹。未观察到胃肠道表现和发热,降低了食物中毒的可能性。肌肉和神经症状的出现提示神经毒素作用,受害者可能通过章鱼唾液腺或肉中毒素积累摄入了神经毒素,也可能是通过未知机制摄入。关于章鱼属毒素的了解甚少,本报告对于提醒食用章鱼的人可能中毒以及将其与因海鲜保存不当引起的食物中毒相鉴别具有重要意义。