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Types Of Shellfish Poisoning

 

Amnesic

Diarrheic

Neurotoxic

Paralytic

(ASP)

(DSP)

(NSP)

(PSP)

Cause

domoic acid (amino acid)

high molecular weight polyethers

 

brevetoxins (polyethers)

derivatives of saxitoxin

Some Symptoms

Gastrointestinal (vomiting, abdominal pain) and Neurological (confusion, memory loss, seizure)

Mild gastrointestinal disorder (nausea, diarrhea, abdominal pain) accompanied by chills, fever

Tingling and numbness of lips, tongue and throat; dizziness and muscle aches; nausea, diarrhea

 

Neurological: tingling, numbness, incoherent speech

 

Associated foods

(all shellfish are potentially toxic; but some are more closely linked)

Mussels

Mussels, oysters, scallops

Shellfish from along Florida coast and Gulf of Mexico

Mussels, clams, cockles, scallops

Course of Disease

Gastrointestinal symptoms within 24 hours, neurological within 48 hours; all fatalities to date involve elderly patients

 

Onset minutes to hours (depending on toxin level); duration of days, complete recovery

Onset minutes to hours; short duration (hours to days); complete recovery

Onset 0.5-2 hours after ingestion; death may result from respiratory paralysis


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