Sea Urchins Horseshoe crab Carcinoscorpius rotundicauda Tetrodotoxin Paralytic
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Sea Urchins
แมงดาถวย Horseshoe crab )Carcinoscorpius rotundicauda) / แมงดาไฟ หรอ เหรา � Tetrodotoxin
Paralytic shellfish poisoning � Mussel, � saxitoxin Oyster, Scallops
ขนควา มรนแรง อาการและอาการแสดง 1 oral paresthesia +/- GI symptoms 2 paresthesia, limb paralysis, normal reflexes 3 • 4 • • generalized muscle weakness include muscle of face and neck (bulbar palsy) and respiratory muscle “ascending paralysis” hypotension good consciousness • • coma respiratory paralysis severe hypotension cardiac arrest
Box jellyfish /irukandji jellyfish
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