Patient No.

Patient 1

Patient 2

Patient 3

Patient 4

Patient 5

Patient 6

Year

2007

2007

2009

2009

2009

2009

Age (year)

20

50

9

24

29

34

Hometown

Bangkok

Bangkok

Phuket

Phuket

Phuket

Phuket

Gender

Female

Female

Male

Male

Female

Female

Onset of symptom

1 hr after meal

(16 hrs prior to admission)

30 min after meal (6 hrs prior to admission)

2 hrs after meal (4 hrs prior to admission)

2 hrs after meal (4 hrs prior to admission)

4 hrs after meal (4 hrs prior to admission)

2 hrs after meal (3 hrs prior to admission)

Symptoms

Perioral/hands/feet numbness, ataxia, vertigo, nausea & vomitting

Abdominal pain, diarrhea, perioral numbness, nausea & vomiting

Diarrhea, perioral & tongue numbness, nausea & vomiting

Abdominal pain, perioral

/legs numbness, nausea, vomiting, diarrhea

Diarrhea, Perioral/hands/feet numbness, nausea, vomiting, abdominal pain, cramping

Diarrhea, nausea, vomiting, abdominal pain, cramping, perioral/ hands/feet numbness

History of food taking

Sea bass with Chinese celery

Sea bass with Chinese celery

Red snapper fish curry

Red snapper fish curry

Red snapper fish curry

Red snapper fish curry

Underlying

No

Dyslipidemia

No

No

No

No

Vital signs

Normal

Respiratory failure

Hypotension

Normal

Hypotension

Hypotension

Conscious

Normal

Normal

Normal

Normal

Normal

Normal

Neurosigns

Normal (improved)

Horseness of voice, quadriparesis with normal reflexes

Not significant

Not significant

Not significant

Not significant

CBC

Normal

Normal

NA

NA

NA

Leukocytosis

Electrolyte

Normal

Normal

NA

NA

NA

NA

Ventilator support

No

Yes

No

No

No

No

Result

Recover in 1 day

Recover in 3 days

Recover in 1 day

Recover in 1 day

Recover in 1 day

Recover in 1 day