
Tetraodontidae is a
family
Family (from ) is a Social group, group of people related either by consanguinity (by recognized birth) or Affinity (law), affinity (by marriage or other relationship). It forms the basis for social order. Ideally, families offer predictabili ...
of marine and freshwater fish in the
order
Order, ORDER or Orders may refer to:
* A socio-political or established or existing order, e.g. World order, Ancien Regime, Pax Britannica
* Categorization, the process in which ideas and objects are recognized, differentiated, and understood
...
Tetraodontiformes
Tetraodontiformes (), also known as the Plectognathi, is an order of ray-finned fishes which includes the pufferfishes and related taxa. This order has been classified as a suborder of the order Perciformes, although recent studies have found ...
. The family includes many familiar species variously called pufferfish, puffers, balloonfish, blowfish, blowers, blowies, bubblefish, globefish, swellfish, toadfish, toadies, toadle, honey toads, sugar toads, and sea squab.
They are
morphologically similar to the closely related
porcupinefish, which have large external spines (unlike the thinner, hidden spines of the Tetraodontidae, which are only visible when the fish have puffed up).
The majority of pufferfish species are
toxic
Toxicity is the degree to which a chemical substance or a particular mixture of substances can damage an organism. Toxicity can refer to the effect on a whole organism, such as an animal, bacterium, or plant, as well as the effect on a subst ...
, with some among the most poisonous
vertebrate
Vertebrates () are animals with a vertebral column (backbone or spine), and a cranium, or skull. The vertebral column surrounds and protects the spinal cord, while the cranium protects the brain.
The vertebrates make up the subphylum Vertebra ...
s in the world. In certain species, the internal organs, such as the liver, and sometimes the skin, contain mucus
tetrodotoxin
Tetrodotoxin (TTX) is a potent neurotoxin. Its name derives from Tetraodontiformes, an Order (biology), order that includes Tetraodontidae, pufferfish, porcupinefish, ocean sunfish, and triggerfish; several of these species carry the toxin. Alt ...
, and are highly toxic to most animals when eaten; nevertheless, the meat of some species is considered
a delicacy in
Japan
Japan is an island country in East Asia. Located in the Pacific Ocean off the northeast coast of the Asia, Asian mainland, it is bordered on the west by the Sea of Japan and extends from the Sea of Okhotsk in the north to the East China Sea ...
(as 河豚, pronounced ''fugu''),
Korea
Korea is a peninsular region in East Asia consisting of the Korean Peninsula, Jeju Island, and smaller islands. Since the end of World War II in 1945, it has been politically Division of Korea, divided at or near the 38th parallel north, 3 ...
(as 복, ''bok'', or 복어, ''bogeo''), and
China
China, officially the People's Republic of China (PRC), is a country in East Asia. With population of China, a population exceeding 1.4 billion, it is the list of countries by population (United Nations), second-most populous country after ...
(as 河豚, ''hétún'') when prepared by specially trained chefs who know which part is safe to eat and in what quantity. Other pufferfish species with nontoxic flesh, such as the
northern puffer, ''Sphoeroides maculatus'', of the
Chesapeake Bay
The Chesapeake Bay ( ) is the largest estuary in the United States. The bay is located in the Mid-Atlantic (United States), Mid-Atlantic region and is primarily separated from the Atlantic Ocean by the Delmarva Peninsula, including parts of the Ea ...
,
are considered a delicacy elsewhere.
The species ''
Torquigener albomaculosus'' was described by
David Attenborough
Sir David Frederick Attenborough (; born 8 May 1926) is an English broadcaster, biologist, natural historian and writer. He is best known for writing and presenting, in conjunction with the BBC Studios Natural History Unit, the nine nature d ...
as "the greatest artist of the animal kingdom" due to the males
' unique habit of wooing females by
creating nests in sand composed of complex geometric designs.
Taxonomy
The family name comes from the name of its type genus ''
Tetraodon'';
it is traced from the Greek words ''tetra'' meaning "four" and ''odoús'' meaning "teeth".
Genera
The Tetraodontidae contains 193
to 206
species of puffers in 27
or 28 genera:
* ''
Amblyrhynchotes''
Troschel, 1856
* ''
Arothron''
Müller, 1841
* ''
Auriglobus
'' Auriglobus'' is a genus of freshwater tetraodontidae, pufferfishes native to Southeast Asia. They generally resemble ''Chonerhinos'', but are considerably smaller, only reaching up to in length, and are more strongly associated with freshwate ...
''
Kottelat, 1999
* ''
Canthigaster''
Swainson, 1839
* ''
Carinotetraodon''
Benl, 1957
* ''
Chelonodon''
Müller, 1841
* ''
Chonerhinos
''Chonerhinos'' is a monotypic genus of pufferfish, family Tetraodontidae. The only species is ''Chonerhinos naritus'', the bronze pufferfish or yellow pufferfish. It is native to Southeast Asia, where it is mainly found in estuarine and coastal ...
''
Bleeker, 1854
* ''
Colomesus''
Gill, 1884
* ''
Contusus''
Whitley, 1947
* ''
Dichotomyctere''
Duméril, 1855
* ''
Ephippion''
Bibron, 1855
* ''
Feroxodon''
Su, Hardy et Tyler, 1986
* ''
Guentheridia''
Gilbert et Starks, 1904
* ''
Javichthys''
Hardy, 1985
* ''
Leiodon''
Swainson, 1839
* ''
Lagocephalus''
Swainson, 1839
* ''
Marilyna''
Hardy, 1982
* ''
Omegophora''
Whitley, 1934
* ''
Pelagocephalus''
Tyler & Paxton, 1979
* ''
Polyspina''
Hardy, 1983
* ''
Pao''
Kottelat, 2013
* ''
Reicheltia''
Hardy, 1982
* ''
Sphoeroides''
Anonymous, 1798
* ''
Takifugu''
Abe, 1949
* ''
Tetractenos''
Hardy, 1983
* ''
Tetraodon''
Linnaeus, 1758
* ''
Torquigener''
Whitley, 1930
* ''
Tylerius''
Hardy, 1984
File:Arothron stellatus Réunion.jpg, '' Arothron stellatus''
File:Canthigaster valentini prg1.jpg, '' Canthigaster valentini''
File:Carinotetraodon irrubesco female.JPG, '' Carinotetraodon irrubesco''
File:Colomesus.jpg, ''Colomesus asellus
''Colomesus asellus'', the Amazon puffer, asellus puffer, South American freshwater puffer, Peruvian puffer, or Brazilian puffer is a species of pufferfish confined to the Amazon Basin, Amazon, Essequibo River, Essequibo and Orinoco basins in tro ...
''
File:Tetraodon nigroviridis 1.jpg, '' Dichotomyctere nigroviridis''
File:Ephippion guttifer crop.JPG, '' Ephippion guttifer''
File:Lagocephalus lagocephalus.jpg, '' Lagocephalus lagocephalus''
File:Omegophora cyanopunctata Bluespotted toadfish PC290509.JPG, '' Omegophora cyanopunctata''
File:Bandtail puffer (Sphoeroides spengleri).jpg, '' Sphoeroides spengleri''
File:Fugu in Tank.jpg, '' Takifugu rubripes''
File:Smooth Toadfish-Tetractenos glaber.JPG, '' Tetractenos glaber''
File:Goldringel-Kugelfisch.JPG, '' Tetraodon mbu''
File:Carinotetraodon travancoricus by Parazelsus (cropped).jpg, '' Carinotetraodon travancoricus''
Fossil genera

The following fossil genera are known:
* †''
Archaeotetraodon''
Carnevale & Santini, 2006
* †''
Eotetraodon''
Tyler, 1980
* †''
Leithaodon''
Carnevale & Tyler, 2015
Morphology
Pufferfish are typically small to medium in size, although a few species such as the
Mbu pufferfish can reach lengths greater than .
Tetraodontiformes
Tetraodontiformes (), also known as the Plectognathi, is an order of ray-finned fishes which includes the pufferfishes and related taxa. This order has been classified as a suborder of the order Perciformes, although recent studies have found ...
, or pufferfish, are most significantly characterized by the beak-like four teeth – hence the name combining the Greek terms "tetra" for four and "odous" for tooth. Each of the top and bottom arches is fused together with a visible midsagittal demarcation, which are used to break apart and consume small
crustaceans
Crustaceans (from Latin meaning: "those with shells" or "crusted ones") are invertebrate animals that constitute one group of Arthropod, arthropods that are traditionally a part of the subphylum Crustacea (), a large, diverse group of mainly aquat ...
. The lack of ribs, a pelvis, and pelvic fins are also unique to pufferfish. The notably missing bone and fin features are due to the pufferfish' specialized defense mechanism, expanding by sucking in water through an oral cavity.
Pufferfish can also have many varied structures of
caltrop-like dermal spines, which account for the replacement of typical fish scales, and can range in coverage extent from the entire body, to leaving the frontal surface empty. Tetraodontidae typically have smaller spines than the sister family
Diodontidae, with some spines not being visible until inflation.
Distribution
They are most diverse in the
tropics
The tropics are the regions of Earth surrounding the equator, where the sun may shine directly overhead. This contrasts with the temperate or polar regions of Earth, where the Sun can never be directly overhead. This is because of Earth's ax ...
, relatively uncommon in the
temperate zone
In geography, the temperate climates of Earth occur in the middle latitudes (approximately 23.5° to 66.5° N/S of the Equator), which span between the tropics and the polar regions of Earth. These zones generally have wider temperature ra ...
, and completely absent from
cold waters.
Ecology and life history
Most pufferfish species live in marine or
brackish
Brackish water, sometimes termed brack water, is water occurring in a natural environment that has more salinity than freshwater, but not as much as seawater. It may result from mixing seawater (salt water) and fresh water together, as in estuari ...
waters, but several tropical genera, comprising about 35 species, spend their entire lifecycles in fresh water. These freshwater species are found in disjunct tropical regions of South America (''
Colomesus asellus
''Colomesus asellus'', the Amazon puffer, asellus puffer, South American freshwater puffer, Peruvian puffer, or Brazilian puffer is a species of pufferfish confined to the Amazon Basin, Amazon, Essequibo River, Essequibo and Orinoco basins in tro ...
'' and ''
Colomesus tocantinensis''), Africa (six ''
Tetraodon'' species), and Southeast Asia (''
Auriglobus
'' Auriglobus'' is a genus of freshwater tetraodontidae, pufferfishes native to Southeast Asia. They generally resemble ''Chonerhinos'', but are considerably smaller, only reaching up to in length, and are more strongly associated with freshwate ...
'', ''
Carinotetraodon'', ''
Dichotomyctere'', ''
Leiodon'' and ''
Pao'').
Natural defenses
The puffer's unique and distinctive natural defenses help compensate for its slow locomotion. It moves by combining
pectoral
Pectoral may refer to:
* The chest region and anything relating to it.
* Pectoral cross, a cross worn on the chest
* a decorative, usually jeweled version of a gorget
* Pectoral (Ancient Egypt), a type of jewelry worn in ancient Egypt
* Pectora ...
,
dorsal
Dorsal (from Latin ''dorsum'' ‘back’) may refer to:
* Dorsal (anatomy), an anatomical term of location referring to the back or upper side of an organism or parts of an organism
* Dorsal, positioned on top of an aircraft's fuselage
The fus ...
,
anal, and
caudal fin
Fins are moving appendages protruding from the body of fish that interact with water to generate thrust and help the fish swim. Apart from the tail or caudal fin, fish fins have no direct connection with the back bone and are supported only ...
motions. This makes it highly maneuverable, but very slow, so a comparatively easy predation target. Its tail fin is mainly used as a rudder, but it can be used for a sudden evasive burst of speed that shows none of the care and precision of its usual movements. The puffer's excellent eyesight, combined with this speed burst, is the first and most important defense against predators.
The pufferfish's secondary defense mechanism, used if successfully pursued, is to fill its extremely elastic
stomach
The stomach is a muscular, hollow organ in the upper gastrointestinal tract of Human, humans and many other animals, including several invertebrates. The Ancient Greek name for the stomach is ''gaster'' which is used as ''gastric'' in medical t ...
with water (or air when outside the water) until it is much larger and almost
spherical in shape. Even if they are not visible when the puffer is not inflated, all puffers have pointed spines, so a hungry predator may suddenly find itself facing an unpalatable, pointy ball rather than a slow, easy meal. Predators that do not heed this warning (or are "lucky" enough to catch the puffer suddenly, before or during inflation) may die from choking, and predators that do manage to swallow the puffer may find their stomachs full of
tetrodotoxin
Tetrodotoxin (TTX) is a potent neurotoxin. Its name derives from Tetraodontiformes, an Order (biology), order that includes Tetraodontidae, pufferfish, porcupinefish, ocean sunfish, and triggerfish; several of these species carry the toxin. Alt ...
(TTX), making puffers an unpleasant, possibly lethal, choice of prey. This
neurotoxin
Neurotoxins are toxins that are destructive to nervous tissue, nerve tissue (causing neurotoxicity). Neurotoxins are an extensive class of exogenous chemical neurological insult (medical), insultsSpencer 2000 that can adversely affect function ...
is found primarily in the
ovaries
The ovary () is a gonad in the female reproductive system that produces ova; when released, an ovum travels through the fallopian tube/oviduct into the uterus. There is an ovary on the left and the right side of the body. The ovaries are endocr ...
and
liver
The liver is a major metabolic organ (anatomy), organ exclusively found in vertebrates, which performs many essential biological Function (biology), functions such as detoxification of the organism, and the Protein biosynthesis, synthesis of var ...
, although smaller amounts exist in the
intestines
The gastrointestinal tract (GI tract, digestive tract, alimentary canal) is the tract or passageway of the digestive system that leads from the mouth to the anus. The tract is the largest of the body's systems, after the cardiovascular system. ...
and
skin
Skin is the layer of usually soft, flexible outer tissue covering the body of a vertebrate animal, with three main functions: protection, regulation, and sensation.
Other animal coverings, such as the arthropod exoskeleton, have different ...
, as well as trace amounts in muscle. It does not always have a lethal effect on large predators, such as sharks, but it can kill humans.
Larval pufferfish are
chemically defended by the presence of TTX on the surface of skin, which causes predators to spit them out.
Not all puffers are necessarily poisonous; the flesh of the
northern puffer is not toxic (a level of poison can be found in its
viscera
In a multicellular organism, an organ is a collection of tissues joined in a structural unit to serve a common function. In the hierarchy of life, an organ lies between tissue and an organ system. Tissues are formed from same type cells to a ...
) and it is considered a delicacy in North America.
Toxin level varies widely even in fish that are poisonous. A puffer's neurotoxin is not necessarily as toxic to other animals as it is to humans, and puffers are eaten routinely by some species of fish, such as
lizardfish and
shark
Sharks are a group of elasmobranch cartilaginous fish characterized by a ribless endoskeleton, dermal denticles, five to seven gill slits on each side, and pectoral fins that are not fused to the head. Modern sharks are classified within the ...
s.
Puffers are able to move their eyes independently, and many species can change the color or intensity of their patterns in response to environmental changes. In these respects, they are somewhat similar to the terrestrial
chameleon
Chameleons or chamaeleons (Family (biology), family Chamaeleonidae) are a distinctive and highly specialized clade of Old World lizards with 200 species described as of June 2015. The members of this Family (biology), family are best known for ...
. Although most puffers are drab, many have bright colors and distinctive markings,
and make no attempt to hide from predators. This is likely an example of
honestly signaled aposematism
Aposematism is the Advertising in biology, advertising by an animal, whether terrestrial or marine, to potential predation, predators that it is not worth attacking or eating. This unprofitability may consist of any defenses which make the pr ...
.
Dolphin
A dolphin is an aquatic mammal in the cetacean clade Odontoceti (toothed whale). Dolphins belong to the families Delphinidae (the oceanic dolphins), Platanistidae (the Indian river dolphins), Iniidae (the New World river dolphins), Pontopori ...
s have been filmed expertly handling pufferfish amongst themselves in an apparent attempt to get intoxicated or enter a trance-like state.
Reproduction
Many marine puffers have a
pelagic
The pelagic zone consists of the water column of the open ocean and can be further divided into regions by depth. The word ''pelagic'' is derived . The pelagic zone can be thought of as an imaginary cylinder or water column between the sur ...
, or open-ocean, life stage. Spawning occurs after males slowly push females to the water surface or join females already present. The eggs are spherical and buoyant. Hatching occurs after roughly four days. The fry are tiny, but under magnification have a shape usually reminiscent of a pufferfish. They have a functional mouth and eyes, and must eat within a few days. Brackish-water puffers may breed in bays in a manner similar to marine species, or may breed more similarly to the freshwater species, in cases where they have moved far enough upriver.
Reproduction in freshwater species varies quite a bit. The
dwarf puffers court with males following females, possibly displaying the crests and keels unique to this subgroup of species. After the female accepts his advances, she will lead the male into plants or another form of cover, where she can release eggs for fertilization. The male may help her by rubbing against her side. This has been observed in captivity, and they are the only commonly captive-spawned puffer species.
Target-group puffers have also been spawned in aquaria, and follow a similar courting behavior, minus the crest/keel display. Eggs are laid, though, on a flat piece of slate or other smooth, hard material, to which they adhere. The male will guard them until they hatch, carefully blowing water over them regularly to keep the eggs healthy. His parenting is finished when the young hatch and the fry are on their own.
In 2012, males of the species ''
Torquigener albomaculosus'' were documented while carving large and complex geometric, circular structures in the seabed sand in
Amami Ōshima
, also known as Amami, is the largest island in the Amami Islands, Amami archipelago between Kyūshū and Okinawa Prefecture, Okinawa. It is one of the Satsunan Islands, all of which belong to Kagoshima Prefecture, Japan.
The island, 712.35 ...
, Japan. The structures serve to attract females and to provide a safe place for them to lay their eggs.
Information on breeding of specific species is very limited. ''
T. nigroviridis'', the green-spotted puffer, has recently been spawned artificially under captive conditions. It is believed to spawn in bays in a similar manner to saltwater species, as their sperm was found to be motile only at full marine salinities, but wild breeding has never been observed. ''
Xenopterus naritus'' has been reported to be the first bred artificially in Sarawak, Northwestern Borneo, in June 2016, and the main purpose was for development of aquaculture of the species.
Diet
Pufferfish diets can vary depending on their environment. Traditionally, their diet consists mostly of algae and small invertebrates. They can survive on a completely vegetarian diet if their environment is lacking resources, but prefer an omnivorous food selection. Larger species of pufferfish are able to use their beak-like front teeth to break open clams, mussels, and other shellfish. Some species of pufferfish have also been known to enact various hunting techniques ranging from ambush to open-water hunting.
File:Arothron hispidus Prague 2011 1.jpg, White-spotted puffer
File:Arothron manilensis.jpg, Striped puffer
File:Giant Puffer fish skin pattern.JPG, Elaborate skin pattern of the giant or mbu puffer
Evolution
The tetraodontids have been estimated to have diverged from
diodontids between 89 and 138 million years ago. The four major clades diverged during the
Cretaceous
The Cretaceous ( ) is a geological period that lasted from about 143.1 to 66 mya (unit), million years ago (Mya). It is the third and final period of the Mesozoic Era (geology), Era, as well as the longest. At around 77.1 million years, it is the ...
between 80 and 101 million years ago. The oldest known pufferfish genus is ''
Eotetraodon'', from the
Lutetian
The Lutetian is, in the geologic timescale, a stage (stratigraphy), stage or age (geology), age in the Eocene. It spans the time between . The Lutetian is preceded by the Ypresian and is followed by the Bartonian. Together with the Bartonian it ...
epoch of Middle
Eocene
The Eocene ( ) is a geological epoch (geology), epoch that lasted from about 56 to 33.9 million years ago (Ma). It is the second epoch of the Paleogene Period (geology), Period in the modern Cenozoic Era (geology), Era. The name ''Eocene'' comes ...
Europe, with fossils found in
Monte Bolca and the
Caucasus Mountains
The Caucasus Mountains
*
* Azerbaijani: ,
*
*
*
*
*
*
*
*
*
*
* is a mountain range at the intersection of Asia and Europe. Stretching between the Black Sea and the Caspian Sea, they are surrounded by the Caucasus region ...
. The Monte Bolca species, ''E. pygmaeus'', coexisted with several other tetraodontiforms, including an extinct species of diodontid, primitive
boxfish
Ostraciidae or Ostraciontidae is a family of squared, Actinopterygii, bony fish belonging to the order Tetraodontiformes, closely related to the pufferfishes and filefishes. Fish in the family are known variously as boxfishes, cofferfishes, cowfi ...
(''
Proaracana'' and ''
Eolactoria''), and other, totally extinct forms, such as ''
Zignoichthys'' and the
spinacanthids.
The extinct genus, ''
Archaeotetraodon'' is known from
Miocene
The Miocene ( ) is the first epoch (geology), geological epoch of the Neogene Period and extends from about (Ma). The Miocene was named by Scottish geologist Charles Lyell; the name comes from the Greek words (', "less") and (', "new") and mea ...
-aged fossils from Europe.
Poisoning
Pufferfish can be lethal if not served properly. Puffer poisoning usually results from consumption of incorrectly prepared puffer soup, ''
fugu chiri'', or occasionally from raw puffer meat, ''
sashimi fugu''. While ''chiri'' is much more likely to cause death, ''sashimi fugu'' often causes intoxication, light-headedness, and numbness of the lips.
Pufferfish tetrodotoxin deadens the tongue and lips, and induces dizziness and vomiting, followed by numbness and prickling over the body, rapid heart rate, decreased
blood pressure
Blood pressure (BP) is the pressure of Circulatory system, circulating blood against the walls of blood vessels. Most of this pressure results from the heart pumping blood through the circulatory system. When used without qualification, the term ...
, and muscle
paralysis
Paralysis (: paralyses; also known as plegia) is a loss of Motor skill, motor function in one or more Skeletal muscle, muscles. Paralysis can also be accompanied by a loss of feeling (sensory loss) in the affected area if there is sensory d ...
. The toxin paralyzes the
diaphragm muscle and stops the person who has ingested it from breathing. People who live longer than 24 hours typically survive, although possibly after a
coma
A coma is a deep state of prolonged unconsciousness in which a person cannot be awakened, fails to Nociception, respond normally to Pain, painful stimuli, light, or sound, lacks a normal Circadian rhythm, sleep-wake cycle and does not initiate ...
lasting several days.
The source of tetrodotoxin in puffers has been a matter of debate, but it is increasingly accepted that bacteria in the fish's intestinal tract are the source.
Saxitoxin
Saxitoxin (STX) is a potent neurotoxin and the best-known paralytic shellfish toxin. Ingestion of saxitoxin by humans, usually by consumption of shellfish contaminated by toxic algal blooms, is responsible for the illness known as paralytic she ...
, the cause of
paralytic shellfish poisoning and
red tide
A harmful algal bloom (HAB), or excessive algae growth, sometimes called a red tide in marine environments, is an algal bloom that causes negative impacts to other organisms by production of natural algae-produced toxins, water deoxygenation, ...
, can also be found in certain puffers.
File:Puffer Fish DSC01257.JPG, '' Arothron hispidus'' at Big Island of Hawaii
File:Puffer fish -Costa Rica-8.jpg, Man with a guineafowl puffer in Costa Rica
Costa Rica, officially the Republic of Costa Rica, is a country in Central America. It borders Nicaragua to the north, the Caribbean Sea to the northeast, Panama to the southeast, and the Pacific Ocean to the southwest, as well as Maritime bo ...
File:2 pufferfish.jpg, Fisherman handpicks a puffer from his day's catch before throwing it back to prevent poisoning. Tarkwa bay, Lagos
Lagos ( ; ), or Lagos City, is a large metropolitan city in southwestern Nigeria. With an upper population estimated above 21 million dwellers, it is the largest city in Nigeria, the most populous urban area on the African continent, and on ...
Philippines
In September 2012, the
Bureau of Fisheries and Aquatic Resources in the
Philippines
The Philippines, officially the Republic of the Philippines, is an Archipelagic state, archipelagic country in Southeast Asia. Located in the western Pacific Ocean, it consists of List of islands of the Philippines, 7,641 islands, with a tot ...
issued a warning not to eat puffer fish, after local fishermen died upon consuming puffer fish for dinner. The warning indicated that puffer fish toxin is 100 times more potent than
cyanide
In chemistry, cyanide () is an inorganic chemical compound that contains a functional group. This group, known as the cyano group, consists of a carbon atom triple-bonded to a nitrogen atom.
Ionic cyanides contain the cyanide anion . This a ...
.
Thailand
Pufferfish, called ''pakapao'' in
Thailand
Thailand, officially the Kingdom of Thailand and historically known as Siam (the official name until 1939), is a country in Southeast Asia on the Mainland Southeast Asia, Indochinese Peninsula. With a population of almost 66 million, it spa ...
, are usually consumed by mistake. They are often cheaper than other fish, and because they contain inconsistent levels of toxins between fish and season, there is little awareness or monitoring of the danger. Consumers are regularly hospitalized and some even die from the poisoning.
United States
Cases of neurological symptoms, including numbness and tingling of the lips and mouth, have been reported to rise after the consumption of puffers caught in the area of
Titusville, Florida
Titusville is a city in and the county seat of Brevard County, Florida, United States. As of the 2020 United States census, 2020 census, the population of the city was 48,789, up from 43,761 at the 2010 census. Titusville is located along the ...
, US. The symptoms generally resolve within hours to days, although one affected individual required
intubation
Intubation (sometimes entubation) is a medical procedure involving the insertion of a tube into the body. Most commonly, intubation refers to tracheal intubation, a procedure during which an endotracheal tube is inserted into the trachea to supp ...
for 72 hours. As a result, Florida banned the harvesting of puffers from certain bodies of water.
Treatment
Treatment is mainly supportive and consists of intestinal decontamination with
gastric lavage
Gastric lavage, also commonly called stomach pumping or gastric irrigation or gastric suction, is the process of cleaning out the contents of the stomach using a tube. Since its first recorded use in the early 19th century, it has become one of the ...
and
activated charcoal
"Activated" is a song by English singer Cher Lloyd. It was released on 22 July 2016 through Vixen Records. The song was made available to stream exclusively on ''Rolling Stone'' a day before to release (on 21 July 2016).
Background
In an inter ...
, and life-support until the toxin is metabolized. Case reports suggest
anticholinesterases such as
edrophonium may be effective.
See also
*
Shimonoseki
file:141122 Shimonoseki City Hall Yamaguchi pref Japan01s3.jpg, 260px, Shimonoseki city hall
is a Cities of Japan, city located in Yamaguchi Prefecture, Japan. , the city had an estimated population of 248,193 in 128,762 households and a pop ...
– Japanese city known for its locally caught pufferfish
*
Toado – common Australian name for local varieties of pufferfish
References
Further reading
*
* Ebert, Klaus (2001): The Puffers of Fresh and Brackish Water, Aqualog, .
*
*
{{Authority control
Commercial fish
Aposematic animals
Percomorpha families
Taxa named by Charles Lucien Bonaparte
Extant Lutetian first appearances