Pinto Pereira Lexley M, Teelucksingh Surujpaul
Departments of Para-clinical Sciences and Medicine, Faculty of Medical Sciences, The University of the West Indies, St Augustine, Trinidad and Tobago, West Indies.
Cases J. 2009 Apr 29;2:7009. doi: 10.1186/1757-1626-2-7009.
Two otherwise healthy middle-aged males presented with persistent abdominal and lower- back pain, progressive weakness, paraesthesias, fatigue and weight loss over 8-12 months. Extensive work-up failed to localize organ pathology. Both men, strongly aware of the nutritional benefits of fish had a diet dedicated of canned and fresh fish. Raised blood mercury levels confirmed clinical suspicion and serial levels declined with symptom resolution after excluding dietary fish. To gain reported health benefits of fish as a healthy food modest consumption is encouraged. Efforts to monitor fish consumption and mercury residues in fish are recommended in Trinidad and Tobago.
两名原本健康的中年男性,在8至12个月的时间里出现了持续性腹痛和下背部疼痛、进行性肌无力、感觉异常、疲劳及体重减轻。全面检查未能确定器官病变位置。这两名男性都深知鱼类的营养益处,饮食以罐装鱼和新鲜鱼为主。血液汞水平升高证实了临床怀疑,在排除食用鱼类后,随着症状缓解,汞水平呈系列下降。为获得鱼类作为健康食品所带来的健康益处,建议适度食用。建议特立尼达和多巴哥努力监测鱼类消费情况及鱼类中的汞残留量。