https://idwiki.org/index.php?action=history&feed=atom&title=Paralytic_shellfish_poisoning 2026-05-13T00:03:17Z Revision history for this page on the wiki MediaWiki 1.43.8 https://idwiki.org/index.php?title=Paralytic_shellfish_poisoning&diff=7280&oldid=prev 2020-11-03T16:33:27Z

<p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 16:33, 3 November 2020</td> </tr><tr> <td colspan="2" class="diff-lineno">Line 43:</td> <td colspan="2" class="diff-lineno">Line 43:</td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>&lt;br /&gt;</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>&lt;br /&gt;</div></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>[[Category:<del style="font-weight: bold; text-decoration: none;">Gastroenterolog</del>]]</div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>[[Category:<ins style="font-weight: bold; text-decoration: none;">Gastroenterology</ins>]]</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Foodborne illnesses]]</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Foodborne illnesses]]</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Neurology]]</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Neurology]]</div></td> </tr> <!-- diff cache key site7_mediawiki:diff:1.41:old-7277:rev-7280:wikidiff2=table:1.13.0:bc2a06be --> </table>

Aidan https://idwiki.org/index.php?title=Paralytic_shellfish_poisoning&diff=7277&oldid=prev 2020-11-02T21:14:23Z

<p>Created page with &quot;== Background == * Caused by ingestion of toxin-contaminated bivalve shellfish and crustaceans ** Most commonly involves clams, mussels, whelks, moon-shells, dogwinkles, oyst...&quot;</p> <p><b>New page</b></p><div>== Background ==<br /> <br /> * Caused by ingestion of toxin-contaminated bivalve shellfish and crustaceans<br /> ** Most commonly involves clams, mussels, whelks, moon-shells, dogwinkles, oysters, whole scallops, and crab and lobster hepatopancreas<br /> ** Toxin can remain for up to a year in some shellfish<br /> * Results from accumulation of toxin after algal blooms of dinoflagellates, which usually occurs in the warmer months<br /> ** Toxin accumulates in specific tissues, such as the siphon, neck, and gills of butterclams<br /> <br /> == Clinical Manifestations ==<br /> <br /> * Incubation period of [[Usual incubation period::1 hour]] (range [[Incubation period range::30 minutes to 3 hours]])<br /> * Severity clinical illness and speed of progression depends on amount of toxin ingested<br /> * Paresthesias and numbness spreading from lips and mouth to face, neck, and extremities<br /> * Dizziness, headaches, nausea, vomiting<br /> * Paresis or paralysis<br /> * In severe cases, respiratory depression and death<br /> <br /> == Diagnosis ==<br /> <br /> === Case Definition ===<br /> <br /> * Clinical illness is defined as: neurological symptoms such as paresthesia and/or paralysis involving the mouth and extremities, which may be accompanied by gastrointestinal symptoms<br /> * At-risk shellfish include filter-feeding molluscan bivalve shellfish, such as clams, mussels, scallops (digestive tissues), oysters, cockles, and whelks, and the hepatopancreas of crab<br /> <br /> ==== Confirmed Case ====<br /> <br /> * Clinical illness within 24 hours of eating at-risk shellfish, and<br /> * Detection of saxitoxin or related toxins in samples of shellfish that were consumed by an individual meeting the clinical case definition, in edible tissues in excess of 0.8 mg/kg, or<br /> * Detection of saxitoxin in urine or feces collected within 24 hours of exposure and illness, or<br /> * Detection of high levels of dinoflagellates (Alexandrium, Gymnodinium, and Pyrodinium species) associated with shellfish poisoning in water from which epidemiologically related shellfish were gathered<br /> <br /> ==== Probable Case ====<br /> <br /> * Clinical illness within 12 hours of consumption of at-risk shellfish and in the absence of other known causes<br /> <br /> == Management ==<br /> <br /> * Supportive care<br /> <br /> == Prevention ==<br /> <br /> * Monitoring for saxitoxin and other related toxins in shellfish<br /> <br /> &lt;br /&gt;<br /> [[Category:Gastroenterolog]]<br /> [[Category:Foodborne illnesses]]<br /> [[Category:Neurology]]</div>

Aidan