Tingling of the lips and tongue, progressing to tingling of fingers and toes and then progressive paralysis. Death can occur in two hours.
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.
From the algae Alexandrium (a dinoflagellate) that collects in shellfish.
I do not consider this an infectious disease.
ICD9 Codes (Soon to be supplanted by ICD10)