소라 섭취 후 테트라민 중독에 의한 호흡부전 1례

@article{ART002602483},
author={ 이주환 and 박진욱 and 홍성준 and 전재천 and 진상찬 },
title={소라 섭취 후 테트라민 중독에 의한 호흡부전 1례},
journal={대한임상독성학회지},
issn={1738-1320},
year={2020},
volume={18},
number={1},
pages={42-46},
doi={10.22537/jksct.2020.18.1.42},
url={http://dx.doi.org/10.22537/jksct.2020.18.1.42}

TY - JOUR
AU - 이주환
AU - 박진욱
AU - 홍성준
AU - 전재천
AU - 진상찬
TI - 소라 섭취 후 테트라민 중독에 의한 호흡부전 1례
T2 - 대한임상독성학회지
PY - 2020
VL - 18
IS - 1
PB - 대한임상독성학회
SP - 42-46
SN - 1738-1320
AB - Tetramine toxicity due to sea snail ingestion is generally mild and has a good prognosis. Tetramine toxicity acts on the acetylcholine receptor, affecting the neuromuscular junction and autonomic nervous system. A 78-year-old female patient visited the emergency room with vomiting and dyspnea after eating sea snails. At the time of admission, the vital signs recorded were 140/80 mmHg-105/min-24/min-36.5。C, and 90% oxygen saturation. Arterial blood test revealed hypercapnia (pCO2 58.2 mmHg) and respiratory acidosis (pH 7.213, HCO3 - 22.5 mmol/L), whereas other blood tests showed no specific findings. Due to decreased consciousness and hypoxia, endotracheal intubation and mechanical ventilation were administered to the patient. Successful weaning was accomplished after 12 hrs, and the patient was discharged without any further complications. Although tetramine toxicity rarely results in acute respiratory failure due to paralysis of the respiratory muscle, caution is required whilst treating the patient.
KW - Tetramine, Respiratory failure, Gastropod, Sea snail, Poisoning
DO - 10.22537/jksct.2020.18.1.42
UR - http://dx.doi.org/10.22537/jksct.2020.18.1.42
ER -

이주환 , 박진욱 , 홍성준 , 전재천 and 진상찬 (2020). 소라 섭취 후 테트라민 중독에 의한 호흡부전 1례. 대한임상독성학회지, 18( 1), 42- 46.

이주환 , 박진욱 , 홍성준 , 전재천 and 진상찬 . 2020, “소라 섭취 후 테트라민 중독에 의한 호흡부전 1례”, 대한임상독성학회지, vol. 18, no. 1, pp. 42-46. Available from: doi:10.22537/jksct.2020.18.1.42

이주환 박진욱 et al. 홍성준 전재천 진상찬 “소라 섭취 후 테트라민 중독에 의한 호흡부전 1례” 대한임상독성학회지 18.1 pp. 42-46 (2020): 42.

이주환 , 박진욱 , 홍성준 , 전재천 , 진상찬 . 소라 섭취 후 테트라민 중독에 의한 호흡부전 1례 대한임상독성학회지 [Internet]. 2020; 18( 1), : 42-46. Available from: doi:10.22537/jksct.2020.18.1.42

이주환 , 박진욱 , 홍성준 , 전재천 and 진상찬 . “소라 섭취 후 테트라민 중독에 의한 호흡부전 1례” 대한임상독성학회지 18, no.1 (2020): 42-46. doi: 10.22537/jksct.2020.18.1.42

홈 권호 목록 논문 목록 논문 상세

소라 섭취 후 테트라민 중독에 의한 호흡부전 1례

대한임상독성학회지

약어 : J KOREAN SOC CLIN TOXICOL

2020, vol.18, no.1, pp.42 - 46

DOI : 10.22537/jksct.2020.18.1.42

발행기관 : 대한임상독성학회

연구분야 : 응급의학

이주환¹ , 박진욱² , 홍성준³ , 전재천⁴ , 진상찬⁵

¹대구파티마병원 응급의학과

²대구파티마병원 응급의학과

³대구파티마병원 응급의학과

⁴계명대학교 의과대학 동산의료원 응급의학과

⁵계명대학교 의과대학 응급의학교실

인용한 논문 수 : - 서지 간략 보기

초록

Tetramine toxicity due to sea snail ingestion is generally mild and has a good prognosis. Tetramine toxicity acts on the acetylcholine receptor, affecting the neuromuscular junction and autonomic nervous system. A 78-year-old female patient visited the emergency room with vomiting and dyspnea after eating sea snails. At the time of admission, the vital signs recorded were 140/80 mmHg-105/min-24/min-36.5。C, and 90% oxygen saturation. Arterial blood test revealed hypercapnia (pCO2 58.2 mmHg) and respiratory acidosis (pH 7.213, HCO3 - 22.5 mmol/L), whereas other blood tests showed no specific findings. Due to decreased consciousness and hypoxia, endotracheal intubation and mechanical ventilation were administered to the patient. Successful weaning was accomplished after 12 hrs, and the patient was discharged without any further complications. Although tetramine toxicity rarely results in acute respiratory failure due to paralysis of the respiratory muscle, caution is required whilst treating the patient.

키워드

Tetramine, Respiratory failure, Gastropod, Sea snail, Poisoning

참고문헌(14)

[학술지] Anthoni U / 1989 / Tetramine : occurrence in marine organisms and pharmacology / Toxicon 27 : 707 ~ 716
[학술지] Jeon JK / 1990 / Tetramine contents of buccinidae in the Korean waters / Korean J Fish Aquatic Sci 23 : 61 ~ 62
[학술지] 김정민 / 2005 / 고둥의 테트라민 독소에 의한 중독 1예 / 대한신경과학회지 23 (3) : 405 ~ 407
[학술지] Mustafa M / 2018 / Seafood poisoning symptom, treatment and prevention / Borneo J Mar Sci Aquac 2 : 64 ~ 69
[학술지] Kim JH / 2009 / Identification of tetramine, a toxin in whelks, as the cause of a poisoning incident in Korea and the distribution of tetramine in fresh and boiled whelk(Neptunea intersculpta) / J Food Prot 72 : 1935 ~ 1940
[학술지] Power AJ / 2002 / The seasonality and role of the neurotoxin tetramine in the salivary glands of the red whelk Neptunea antiqua(L.) / Toxicon 40 : 419 ~ 425
[학술지] 목종수 / 2007 / 한국 연안산 권패류의 tetramine 함량 / 한국수산과학회지 40 (2) : 63 ~ 67
[학술지] Lin CC / 2010 / Tetramethylammonium hydroxide poisoning / Clin Toxicol 48 : 213 ~ 217
[학술지] Park SH / 2013 / Tetramethylammonium hydroxide poisoning during a pallet cleaning demonstration / J Occup Health 55 : 120 ~ 124
[학술지] Wu CL / 2012 / Tetramethylammonium ion causes respiratory failure related mortality in a rat model / Resuscitation 83 : 119 ~ 124
[학술지] Hirsch NP / 2007 / Neuromuscular junction in health and disease / Br J Anaesth 99 : 132 ~ 138
[학술지] 김원희 / 2010 / Myasthenia Gravis Presenting as Isolated Respiratory Failure: A Case Report / The Korean Journal of Internal Medicine 25 (1) : 101 ~ 104
[학술지] Chowdhury FR / 2007 / Tetrodotoxin poisoning : a clinical analysis, role of neostigmine and short-term outcome of 53 cases / Singapore Med J 48 : 830 ~ 833
[학술지] 김소은 / 2016 / 물레고동 섭취 후 발생한 테트라민 중독 2례 / 대한임상독성학회지 14 (1) : 66 ~ 69