“We just continue to rigorously monitor the coast. We don’t know how long this is going to last.” [pressherald.com]

Similar to Hong Kong [10], China has no rigorous monitoring programs for shellfish. Public awareness and education were the best alternative to prevent and control the outbreak. [journals.plos.org]

To correct possible acidosis, intravenous administration of sodium bicarbonate and renal excretion of toxin are often performed. [healthguidance.org]

[…] normal reflexes Grade 3 - Generalized flaccid paralysis, respiratory failure (dyspnea), aphonia, and fixed/dilated pupils; patient still conscious Grade 4 - Severe respiratory failure and hypoxia; hypotension, bradycardia, and cardiac dysrhythmias; unconsciousness [emedicine.medscape.com]

That was in 1799, when a hundred Kodiak men hunting otters for the Russians died from toxic mussels, the deadliest outbreak in Alaska history. [adn.com]

bivalve shellfish and puffer fish Paralytic numbness/tingling of the mouth and/or lips; nausea, vomiting; respiratory distress; drowsiness; muscle weakness; incoherent speech Yes. [myfwc.com]

distress, myocardial injury Scombroid poisoning Gastroenteritis, flushed skin, hypotension, urticaria, wheezing Tetrodotoxin poisoning Vomiting, paraesthesiae, muscle twitching, diaphoresis, bradycardia, flaccid paralysis, respiratory paralysis Q5. [lifeinthefastlane.com]

Neurological symptoms reported include nervousness, dilated pupils, severe headache, numbness, tingling, hypersalivation, dyspnea, progressive muscular paralysis, convulsions, coma, and death. [emedicine.medscape.com]

The most common symptoms, which started 1-2 hours after consumption of the mussels, were paresthesias, nausea, vomiting, diarrhea, ataxia, weakness and a “floating sensation” that is said to be characteristic of PSP. [thepoisonreview.com]

Nature Of Danger: Symptoms of diarrhetic shellfish poisoning are diarrhoea, nausea, vomiting and abdominal pain which can start between 30 minutes to a few hours after ingestion. Complete recovery occurs within a number of days. [fsai.ie]

A total of 49 people who ate at two London restaurants suffered acute nausea, vomiting, diarrhoea, abdominal pain, and feverishness lasting eight hours. [news.bbc.co.uk]

It has been known for a long time that consumption of mussels and other bivalve shellfish can cause poisoning in humans, with symptoms ranging from diarrhea, nausea, and vomiting to neurotoxicological effects, including paralysis and even death in extreme [sciencedaily.com]

Dinophysis species, Prorocentrum species (okadaic acid) clams, oysters, mussels, whelk Diarrhetic Shellfish Poisoning (DSP) diarrhea, nausea, vomiting; abdominal cramps; chills No Gambierdiscus species (ciguatoxins) large reef fish species such as barracuda [myfwc.com]

The frequency of diarrhea and vomiting were positively correlated with the number of mussels consumed (r   0.424 and r   0.562, respectively). [journals.plos.org]

The most common symptoms, which started 1-2 hours after consumption of the mussels, were paresthesias, nausea, vomiting, diarrhea, ataxia, weakness and a “floating sensation” that is said to be characteristic of PSP. [thepoisonreview.com]

It has been known for a long time that consumption of mussels and other bivalve shellfish can cause poisoning in humans, with symptoms ranging from diarrhea, nausea, and vomiting to neurotoxicological effects, including paralysis and even death in extreme [sciencedaily.com]

Diarrhetic shellfish poisoning (DSP) is exactly what it sounds like: diarrhea. Diarrhea, cramps, naseau, and vomitting, are all possible symptoms. Either way, somethings coming out of you or making you wish it would. [naturespoisons.com]

Dinophysis species, Prorocentrum species (okadaic acid) clams, oysters, mussels, whelk Diarrhetic Shellfish Poisoning (DSP) diarrhea, nausea, vomiting; abdominal cramps; chills No Gambierdiscus species (ciguatoxins) large reef fish species such as barracuda [myfwc.com]

Scientists fear diners who fell ill after eating mussels suffered a type of food poisoning not seen in Britain for 30 years. [news.bbc.co.uk]

This form of food poisoning is seen most often on the Pacific Coast of this continent, but cases are reported from the Nova Scotia area, northern Europe and South Africa. Many of the details were FULL TEXT [annals.org]

Living with food poisoning Food poisoning is a condition that comes and goes. However, you can be more likely to get food poisoning than other people. Children and the elderly are most likely to get food poisoning. [familydoctor.org]

Scombroid poisoning is discussed further in our fish food poisoning section. [medic8.com]

Marine Drugs, 6 (3), 456-79 PMID: 19005579 Lawrence DT, et al. (2007) Food poisoning. Emergency Medicine Clinics of North America, 25(2), 357. [lifeinthefastlane.com]

Circumoral paresthesias occur 5 to 30 min after eating. Nausea, vomiting, and abdominal cramps then develop, followed by muscle weakness. Untreated respiratory paralysis may be fatal; for survivors, recovery is usually complete. [merckmanuals.com]

These include headache, dizziness, disorientation, vision disturbances, loss of short-term memory, motor weakness, seizures, profuse respiratory secretions, hiccups, unstable blood pressure, cardiac arrhythmia and coma. [mpi.govt.nz]

Mild symptoms include numbness and tingling of the face, arms and legs, followed by headache, dizziness, nausea and muscular incoordination. Severe poisoning causes muscle paralysis and respiratory failure within 2 to 25 hours. [maine.gov]

[…] ciguatoxins) large reef fish species such as barracuda, grouper, snapper, jack, mackerel, and triggerfish Ciguatera Fish Poisoning (CFP) nausea, vomiting, diarrhea; numbness/tingling of the mouth and other extremities; reversal of hot/cold sensations; chills, headache [myfwc.com]

Other reported symptoms have included dizziness, headache, disorientation, and permanent or short-term memory loss. In severe poisoning cases, seizures, focal weakness or paralysis, and death may occur. [articles.extension.org]

Symptoms of DSP The symptoms of DSP can include: diarrhea, nausea, vomiting, headache, abdominal cramps, and chills. Symptoms usually occur 30 minutes to six hours after consumption. [inspection.gc.ca]

The most common symptoms, which started 1-2 hours after consumption of the mussels, were paresthesias, nausea, vomiting, diarrhea, ataxia, weakness and a “floating sensation” that is said to be characteristic of PSP. [thepoisonreview.com]

Abdominal cramps, nausea, vomiting, and diarrhea last 6 to 17 h; then, pruritus, paresthesias, headache, myalgia, reversal of hot and cold sensation, and face pain may occur. [merckmanuals.com]

Notes Clinical illness defined as: neurological symptoms such as paresthesia and/or paralysis involving the mouth and extremities, which may be accompanied by gastrointestinal symptoms. [bccdc.ca]

Chronic paraesthesiae, pruritis and neuropsychiatric symptoms last for years in some patients Diarrhetic shellfish poisoning Vomiting, abdominal cramps, and severe diarrhoea Neurotoxic shellfish poisoning Gastroenteritis, ataxia, paresthesiae, seizures [lifeinthefastlane.com]

Paresthesia often spreads to the neck and face and sometimes to the toes and fingertips. It may be followed by muscular weakness on the lower and upper limbs and on more serious cases, patients may also have ataxia, dysphagia and dysphonia. [healthguidance.org]

Neurological symptoms reported include nervousness, dilated pupils, severe headache, numbness, tingling, hypersalivation, dyspnea, progressive muscular paralysis, convulsions, coma, and death. [emedicine.medscape.com]

[…] available, leftover shellfish can be tested for increased levels of the toxin. 4 Neurologic signs and symptoms include headache, dizziness, disorientation, and permanent short-term memory loss. 8 In more severe cases, patients can experience seizures, paresis [journals.lww.com]

In most cases, gastrointestinal symptoms such as diarrhea, vomiting, and abdominal pain develop within 24 hours of eating toxic shellfish, followed by headache, memory loss, and cognitive impairment. [wwwnc.cdc.gov]