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来自水族箱珊瑚的岩沙海葵毒素吸入中毒:病例描述与安全建议

Inhalation poisoning with palytoxin from aquarium coral: case description and safety advice.

作者信息

Schulz Michał, Łoś Aleksandra, Szabelak Aleksandra, Strachecka Aneta

机构信息

Institute of Biological Basis of Animal Production, Faculty of Biology, Animal Sciences and Bioeconomy, University of Life Sciences in Lublin, Lublin, Poland.

Institute of Nature Conservation, Polish Academy of Sciences, Kraków, Poland.

出版信息

Arh Hig Rada Toksikol. 2019 Mar 1;70(1):14-17. doi: 10.2478/aiht-2019-70-3209.

DOI:10.2478/aiht-2019-70-3209
PMID:30956217
Abstract

Palythoa spp. corals and some other marine organisms contain one of the most poisonous substances ever known - palytoxin (PTX). Due to their modest life requirements and ease of breeding, these corals are popular in home aquariums. Here we refer to a case of PTX poisoning of a middle-aged woman who inhaled poisonous vapours while brushing the corals from live rock and compare it with the available literature. As the case revealed that the symptoms of PTX poisoning are not specific and neither is treatment, our aim was to give a brief tabulated review of the symptoms that may indicate such poisoning. Cases of palytoxin poisoning have been reported worldwide, and severe ones (mostly due to ingestion of contaminated sea food) can end in death. As it appears, most (if not all) poisonings result from unawareness of the risk and reckless handling by aquarists. This is one of the first articles which provides some practical advice about the use of personal protection equipment, including gloves, masks, eyewear, and other clothing during any coral manipulation to minimise the risk. We also draw attention to the lack of marketing/trading regulations for dangerous coral species and/or regulations or instructions dealing with their removal and health protection.

摘要

繁花珊瑚属的珊瑚及其他一些海洋生物含有一种已知的最毒物质——岩沙海葵毒素(PTX)。由于这些珊瑚对生存条件要求不高且易于繁殖,它们在家庭水族箱中很受欢迎。在此,我们讲述一名中年女性在清理活石上的珊瑚时吸入有毒蒸汽而导致PTX中毒的病例,并与现有文献进行比较。由于该病例显示PTX中毒的症状不具特异性,治疗方法也无特异性,我们的目的是简要列表回顾可能提示此类中毒的症状。岩沙海葵毒素中毒的病例在全球均有报道,严重的中毒情况(大多因食用受污染的海产品所致)可导致死亡。看起来,大多数(即便不是全部)中毒事件都是由于水族爱好者对风险认识不足且操作鲁莽造成的。本文是首批就使用个人防护装备提供一些实用建议的文章之一,这些建议包括在处理任何珊瑚时佩戴手套、口罩、护目镜及其他衣物,以尽量降低风险。我们还提请注意,对于危险珊瑚物种缺乏市场/贸易监管,以及缺乏关于移除珊瑚和健康保护的相关规定或说明。

相似文献

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Inhalation poisoning with palytoxin from aquarium coral: case description and safety advice.来自水族箱珊瑚的岩沙海葵毒素吸入中毒:病例描述与安全建议
Arh Hig Rada Toksikol. 2019 Mar 1;70(1):14-17. doi: 10.2478/aiht-2019-70-3209.
2
Determination of Palytoxins in Soft Coral and Seawater from a Home Aquarium. Comparison between Palythoa- and Ostreopsis-Related Inhalatory Poisonings.从家庭水族箱中的软珊瑚和海水中测定海兔毒素。与泡叶藻和鱼腥藻相关的吸入性中毒的比较。
Environ Sci Technol. 2016 Jan 19;50(2):1023-30. doi: 10.1021/acs.est.5b05469. Epub 2015 Dec 23.
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Palytoxin poisoning after dermal contact with zoanthid coral.皮肤接触纽扣珊瑚后发生的岩沙海葵毒素中毒
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A case of palytoxin poisoning due to contact with zoanthid corals through a skin injury.一例因皮肤损伤接触纽扣珊瑚而导致的岩沙海葵毒素中毒病例。
Toxicon. 2008 Jun 15;51(8):1535-7. doi: 10.1016/j.toxicon.2008.03.009. Epub 2008 Mar 18.
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Suspected Palytoxin Inhalation Exposures Associated with Zoanthid Corals in Aquarium Shops and Homes - Alaska, 2012-2014.2012 - 2014年阿拉斯加与水族商店及家庭中纽扣珊瑚相关的疑似多环珊瑚毒素吸入暴露情况
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Human risk associated with palytoxin exposure.人体暴露于石房蛤毒素相关的风险。
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Case series: inhaled coral vapor--toxicity in a tank.病例系列:吸入珊瑚蒸气——水箱中的毒性。
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Palytoxin-Containing Aquarium Soft Corals as an Emerging Sanitary Problem.含岩沙海葵毒素的水族箱软珊瑚成为一个新出现的卫生问题。
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A case of long-term neurological and respiratory sequelae of inhalational exposure to palytoxin.吸入海兔毒素导致的长期神经和呼吸后遗症病例报告。
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[Family with fever after cleaning a sea aquarium].[清洁海水水族箱后发热的家庭]
Ned Tijdschr Geneeskd. 2012;156(12):A4200.

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Mar Drugs. 2022 Jul 18;20(7):461. doi: 10.3390/md20070461.
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[Acute keratoconjunctivitis in a breeder of highly poisonous exotic corals].[一位剧毒外来珊瑚饲养员的急性角结膜炎]
Ophthalmologie. 2022 Oct;119(10):1071-1073. doi: 10.1007/s00347-022-01576-9. Epub 2022 Jan 28.
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有毒或有害藻类与建筑环境。
Toxins (Basel). 2021 Jun 30;13(7):465. doi: 10.3390/toxins13070465.
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Coral Keratitis: Case Report and Review of Mechanisms of Action, Clinical Management and Prognosis of Ocular Exposure to Palytoxin.珊瑚性角膜炎:眼部接触岩沙海葵毒素的作用机制、临床管理及预后的病例报告与综述
Clin Ophthalmol. 2021 Jan 12;15:141-156. doi: 10.2147/OPTH.S290455. eCollection 2021.