Blowfish poisoning!

On June 13, 2014, two patients went to the Hennepin County Medical Center Emergency Department in Minneapolis, Minnesota, with symptoms suggestive of tetrodotoxin poisoning (i.e., oral paresthesias*, weakness, and dyspnea**) after consuming dried puffer fish purchased during a recent visit to New York City.

Tetrodotoxin is a deadly, potent poison; the minimum lethal dose in an adult human is estimated to be 2–3 mg. Tetrodotoxin exerts its effects by blocking voltage-activated sodium channels, terminating nerve conduction and muscle action potentials, leading to progressive paralysis and, in extreme cases, to death from respiratory failure. Because these fish were reportedly purchased in the United States, they pose a substantial U.S. public health hazard given the potency of the toxin and the high levels of toxin found in the fish

Yikes! Get better soon!

* pins and needles feeling

** difficulty breathing