Rhabdomyolysis and myocardial damage induced by palytoxin, a toxin of blue humphead parrotfish

被引：43

作者：

Okano, H ^{[1
]}

Masuoka, H ^{[1
]}

Kamei, S ^{[1
]}

Seko, T ^{[1
]}

Koyabu, S ^{[1
]}

Tsuneoka, K ^{[1
]}

Tamai, T ^{[1
]}

Ueda, K ^{[1
]}

Nakazawa, S ^{[1
]}

Sugawa, M ^{[1
]}

Suzuki, H ^{[1
]}

Watanabe, M ^{[1
]}

Yatani, R ^{[1
]}

Nakano, T ^{[1
]}

机构：

[1] Owase Gen Hosp, Div Internal Med, Owase, Mie 5193653, Japan

来源：

INTERNAL MEDICINE | 1998年 / 37卷 / 03期

关键词：

myosin light chain; creatine phosphokinase; food poisoning;

D O I：

10.2169/internalmedicine.37.330

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 55-year-old man had rhabdomyolysis and myocardial damage induced by palytoxin, Weakness and myalgia of four extremities occurred five hours after eating a fish. Rhabdomyolysis developed and the serum creatine phosphokinase (CK) was elevated to 40,000 IU/l on the 3rd day. Gastric lavage with activated charcoal and forced mannitol-alkaline diuresis therapy were performed. The patient recovered with no complication such as renal failure. In this case, palytoxin was suggested to induce myocardial damage which was demonstrated by an elevation of the myosin light chain level and a change in electrocardiogram.

引用

页码：330 / 333

页数：4

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