Nagasawa Hiroki, Takeuchi Ikuto, Jitsuiki Kei, Yanagawa Youichi
Acute Critical Care Medicine, Juntendo University Shizuoka Hospital, Izunokuni, JPN.
Cureus. 2019 Dec 30;11(12):e6507. doi: 10.7759/cureus.6507.
The patient was a 64-year-old man who felt numbness of the tongue 30 minutes after eating puffer fish (fugu) prepared by an unqualified person. He then felt hotness on the left side of his face and head, followed by left hemi-paresthesia. The patient had obesity and dyslipidemia. On arrival at our hospital, 150 minutes after eating the fugu, his consciousness was clear, and his only abnormal vital sign was mild hypertension. At approximately four hours after eating the fugu, his hemi-paresthesia spontaneously subsided. He was admitted to our hospital and his post-admission course was uneventful. Brain magnetic resonance image revealed no specific findings. He was discharged on 2 day of hospitalization without complaint. We presented the 1st case of transient hemi-paresthesia after eating fugu. The mechanism underlying the development of hemi-paresthesia may be pure sensory ischemic attack or fugu intoxication due to an asymmetric distribution of sodium channels.
该患者为一名64岁男性，在食用了由无资质人员烹制的河豚后30分钟感到舌头麻木。随后，他感到左侧面部和头部发热，接着出现左侧半身感觉异常。该患者患有肥胖症和血脂异常。在食用河豚150分钟后抵达我院时，他意识清醒，唯一异常的生命体征是轻度高血压。在食用河豚约四小时后，他的半身感觉异常自行消退。他被收治入院，入院后的病程平稳。脑部磁共振成像未发现特异性表现。他在住院第二天无不适出院。我们报告了首例食用河豚后出现短暂性半身感觉异常的病例。半身感觉异常发生的机制可能是单纯感觉性缺血发作或由于钠通道分布不对称导致的河豚中毒。
