Infectious Disease Compendium

Paralytic Shellfish Poisoning

Diagnosis

Tingling of the lips and tongue, progressing to tingling of fingers and toes and then progressive paralysis. Death can occur in two hours.

Epidemiologic Risks

Eating contaminated shellfish from colder coastal waters of the Pacific states and New England, it has been reported in Central America. Shellfish include mussels, cockles (a heart shaped mollusk that can warm parts of your heart), clams, scallops, oysters, crabs, and lobsters.

Microbiology

From the algae Alexandrium (a dinoflagellate) that collects in shellfish.

Empiric Therapy

Supportive.

Pearls

Botulism, Tick paralysis and Guillain Barre Syndrome are in the ddx.

Rants

I do not consider this an infectious disease.

ICD9 Codes (Soon to be supplanted by ICD10)

988.0.


Published