TY - GEN T1 - Puffer fish: four case reports [in Sabah] A1 - Lyn, P.C.W. (Duchess of Kent Hospital, Sandakan, Sabah (Malaysia). Department of Medicine) LA - English YR - 2013 UL - http://discoverylib.upm.edu.my/discovery/Record/oai:http:--agris.upm.edu.my:0-2457 AB - Four cases of puffer fish poisoning with one death in a family are described. Acute respiratory cessation probably resulted from both depression of medullary centres and muscular paralysis by neurotoxin. Artificial ventilation is the single most effective therapeutic measure and should be considered in all severe cases. Delay in treatment may result in death. Anticholinestrases are not known to confer any benefit. Medical staff in coastal hospitals should familiarise themselves with the management of puffer fish poisoning. KW - POISSON ARME KW - INTOXICATION KW - TOXINE KW - SABAH/ SYMPTOME KW - TAMBOR (PEZ) KW - ENVENENAMIENTO KW - TOXINAS KW - SABAH/ SINTOMAS ER -