Case Series: Inhaled Coral Vapor—Toxicity in a Tank

Sud, Payal; Su, Mark; Greller, Howard A.; Majlesi, Nima; Gupta, Amit K.

doi:10.1007/s13181-013-0307-x

Cited by 27 publications

(30 citation statements)

References 20 publications

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“…Similar and even stronger effects on the respiratory tract lasting up to 1-3 months, accompanied by increased blood levels of CPK and other systemic effects, were also reported as the result of inhaling hot water vapours during cleaning procedures of soft corals (genus Palythoa) contained in aquaria (Sud et al, 2013;Wieringa et al, 2014). Levels of PLTX equivalent up to 600 mg/g of wet zoanthids or coral were found, but information on the level of exposure by inhalation were not available.…”

Section: Exposure Scenarios For Humans and Health Effectsmentioning

confidence: 77%

Ostreospis cf. ovata blooms in coastal water: Italian guidelines to assess and manage the risk associated to bathing waters and recreational activities

2015

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Section: Exposure Scenarios For Humans and Health Effectsmentioning

confidence: 77%

Ostreospis cf. ovata blooms in coastal water: Italian guidelines to assess and manage the risk associated to bathing waters and recreational activities

2015

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“…Palytoxin is heat-stable, therefore boiling water is not effective in eliminating the toxin [3]. Poisonings associated with palytoxin contaminated soft corals occur via different routes such as oral, cutaneous, inhalational or ocular exposure.…”

Section: Discussionmentioning

confidence: 99%

“…In another case of suspected palytoxin inhalation exposure in Virginia, the patient developed respiratory symptoms after pouring boiling water over the zoanthid coral [1], [2]. Common clinical presentations including fever and cough appear suddenly, from minutes to hours, after cleaning or destruction of coral with boiling water [3], [5], [6]. Upon examination patients were febrile, tachypneic, tachycardic, some had wheezing and laboratory investigation consistently revealed leukocytosis.…”

Section: Discussionmentioning

confidence: 99%

Palytoxin-induced acute respiratory failure

Thakur

Jha

2017

Respiratory Medicine Case Reports

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Palytoxin is one of the most potent toxins known to mankind and poses a high risk to humans through ingestion, inhalation and dermal routes [1,2]. Although the exact mechanism of action is unknown it is postulated that palytoxin binds to the Na+/K + ATPase pump resulting in K+ efflux, Ca2+ influx and membrane depolarization leading to widespread secondary pharmacological actions [2]. Palytoxin is highly toxic and can affect multiple organs causing severe symptoms including death. Palytoxin poisoning is mainly developed after ingesting seafood. We are reporting a case of suspected inhalational palytoxin poisoning in a healthy healthcare provider from who developed severe respiratory distress within 12 hours of exposure to vapors. We have highlighted diagnostic clues and clinical features in the patients' history that may help intensivists to diagnose a case of ARDS secondary to palytoxin poisoning.

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“…and is characterized by mild respiratory symptoms, including wheezing and shortness of breath, low-grade fevers, some gastrointestinal involvement, and no cardiac changes. 20 Cutaneous intoxication also has been well documented, and case studies for both oral and dermal intoxications have described cardiac effects from both routes of contamination. 21 Dermal and oral intoxication symptoms both vary significantly depending on the duration and extent of exposure but the principal concerns appear to be cardiac arrest, rhabdomyolysis, renal failure, and neurological alterations.…”

Section: Palytoxinsmentioning

confidence: 99%