Onset of symptoms usually within 30 min to 4 hours after eating pufferfish
Paresthesias, body numbness
Dysarthria, dysphagia
Headache
Vomiting, diarrhea, abdominal pain
Ascending paralysis
Respiratory failure
Death
Tetrodotoxin
Toxins
Trospium
Ciguatera
Cisatricurium
Scombroid
Strychnine
Tetrodotoxin 