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<script type="text/javascript" src="/corehtml/pmc/jatsreader/ptpmc_3.22/js/jr.boots.min.js"> </script><title>Chelonitoxin Poisoning - Drugs and Lactation Database (LactMed®) - NCBI Bookshelf</title>
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<meta name="citation_title" content="Chelonitoxin Poisoning">
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<meta name="citation_publisher" content="National Institute of Child Health and Human Development">
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<meta name="citation_date" content="2024/06/15">
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<meta name="citation_keywords" content="Chelonitoxin">
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<meta name="citation_keywords" content="Chelonitoxism">
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<meta name="citation_keywords" content="Sea turtle">
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<meta name="citation_keywords" content="Eretmochelys imbricata">
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<meta name="citation_keywords" content="hawksbill turtle">
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<meta name="DC.Title" content="Chelonitoxin Poisoning">
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<meta name="description" content="Chelonitoxism is caused by eating sea turtle meat contaminated with chelonitoxins, which are thought to accumulate from the environment without affecting the turtle. Initially, gastrointestinal symptoms occur, followed by neurologic, hepatic and renal toxicity. Breastfed infants have been adversely affected by maternal poisoning, including some deaths. Mothers suspected of having chelonitoxin poisoning should not breastfeed until they have recovered.">
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<meta name="og:description" content="Chelonitoxism is caused by eating sea turtle meat contaminated with chelonitoxins, which are thought to accumulate from the environment without affecting the turtle. Initially, gastrointestinal symptoms occur, followed by neurologic, hepatic and renal toxicity. Breastfed infants have been adversely affected by maternal poisoning, including some deaths. Mothers suspected of having chelonitoxin poisoning should not breastfeed until they have recovered.">
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class="wsprkl btn" title="Jump to next match">▶</a></nav></nav></div><div id="jr-epub-interstitial" class="hidden"></div><div id="jr-content"><article data-type="main"><div class="main-content lit-style" itemscope="itemscope" itemtype="http://schema.org/CreativeWork"><div class="meta-content fm-sec"><div class="fm-sec"><h1 id="_NBK532507_"><span class="title" itemprop="name">Chelonitoxin Poisoning</span></h1><p class="fm-aai"><a href="#_NBK532507_pubdet_">Publication Details</a></p><p><em>Estimated reading time: 1 minute</em></p></div></div><div class="jig-ncbiinpagenav body-content whole_rhythm" data-jigconfig="allHeadingLevels: ['h2'],smoothScroll: false" itemprop="text"><div id="LM1425.Drug_Levels_and_Effects"><h2 id="_LM1425_Drug_Levels_and_Effects_">Drug Levels and Effects</h2><div id="LM1425.Summary_of_Use_during_Lactation"><h3>Summary of Use during Lactation</h3><p>Chelonitoxism is caused by eating sea turtle meat contaminated with chelonitoxins, which are thought to accumulate from the environment without affecting the turtle. Initially, gastrointestinal symptoms occur, followed by neurologic, hepatic and renal toxicity. Breastfed infants have been adversely affected by maternal poisoning, including some deaths. Mothers suspected of having chelonitoxin poisoning should not breastfeed until they have recovered.</p></div><div id="LM1425.Drug_Levels"><h3>Drug Levels</h3><p><i>Maternal Levels.</i> Relevant published information was not found as of the revision date.</p><p><i>Infant Levels.</i> Relevant published information was not found as of the revision date.</p></div><div id="LM1425.Effects_in_Breastfed_Infants"><h3>Effects in Breastfed Infants</h3><p>One poisoning incident occurred after ingestion of hawksbill turtle, <i>Eretmochelys imbricata</i>, at a family gathering on a remote island in Micronesia. Two adults and 4 children aged 2 to 4 years died from the poisoning before reaching the hospital. Two of the four infants who died were breastfed after maternal ingestion, one had received only breastmilk and another who had also been given a small amount of turtle meat.[<a class="bibr" href="#LM1425.REF.1" rid="LM1425.REF.1">1</a>]</p><p>Another cluster of poisonings from eating meat from the same species of sea turtle occurred in western Madagascar and affected 76 victims. Seven lactating women and their 7 infants were poisoned. None of the mothers died, but 4 of the infants died, including 1 who was exclusively breastfed. Infant symptoms consisted of hypotonia, dyspnea and coma. Five of the mothers had discontinued nursing their infants because of symptoms, but 2 of their infants died despite this precaution. There are several other reports of breastfed infant deaths in the literature.[<a class="bibr" href="#LM1425.REF.2" rid="LM1425.REF.2">2</a>,<a class="bibr" href="#LM1425.REF.3" rid="LM1425.REF.3">3</a>]</p></div><div id="LM1425.Effects_on_Lactation_and_Breastmi"><h3>Effects on Lactation and Breastmilk</h3><p>Relevant published information was not found as of the revision date.</p></div><div id="LM1425.References"><h3>References</h3><dl class="temp-labeled-list"><dl class="bkr_refwrap"><dt>1.</dt><dd><div class="bk_ref" id="LM1425.REF.1">Kirschner
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RI, Jacobitz
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KL. Multiple fatalities following ingestion of sea turtle meat.
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Clin Toxicol
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2011;49:571. doi:10.3109/15563650.2011.598695 [<a href="http://dx.crossref.org/10.3109/15563650.2011.598695" ref="pagearea=cite-ref&targetsite=external&targetcat=link&targettype=uri">CrossRef</a>]</div></dd></dl><dl class="bkr_refwrap"><dt>2.</dt><dd><div class="bk_ref" id="LM1425.REF.2">Rasamimanana
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NG, Randrianandrasana
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JC, Andrianarimanana
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KD, et al.
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Chelonitoxism in breast-fed child: Cases in Mahajanga, Madagascar.
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Med Sante Trop
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2017;27:329-32.
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[<a href="https://pubmed.ncbi.nlm.nih.gov/28947412" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 28947412</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>3.</dt><dd><div class="bk_ref" id="LM1425.REF.3">Rasamimanana
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NG, Andrianirina
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ZZ, Razafilalaina
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FM, et al.
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Collective poisoning from sea turtle consumption in Mahajanga Madagascar, May 2014.
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Med Sante Trop
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2017;27:56-61.
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[<a href="https://pubmed.ncbi.nlm.nih.gov/28406418" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 28406418</span></a>]</div></dd></dl></dl></div></div><div id="LM1425.Substance_Identification"><h2 id="_LM1425_Substance_Identification_">Substance Identification</h2><div id="LM1425.Substance_Name"><h3>Substance Name</h3><p>Chelonitoxin Poisoning</p></div><div id="LM1425.Drug_Class"><h3>Drug Class</h3><p>Breast Feeding</p><p>Lactation</p><p>Milk, Human</p><p>Foodborne</p><p>Diseases Poisoning</p></div></div><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt></dt><dd><div><p class="no_top_margin"><p><b>Disclaimer: </b>Information presented in this database is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation. The U.S. government does not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site.</p></p></div></dd></dl></dl></div><div id="bk_toc_contnr"></div></div></div><div class="fm-sec"><h2 id="_NBK532507_pubdet_">Publication Details</h2><h3>Publication History</h3><p class="small">Last Revision: <span itemprop="dateModified">June 15, 2024</span>.</p><h3>Copyright</h3><div><div class="half_rhythm"><a href="/books/about/copyright/">Copyright Notice</a><p class="small"><b>Attribution Statement:</b> LactMed is a registered trademark of the U.S. Department of Health and Human Services.</p></div></div><h3>Publisher</h3><p><a href="https://www.nlm.nih.gov/" ref="pagearea=page-banner&targetsite=external&targetcat=link&targettype=publisher">National Institute of Child Health and Human Development</a>, Bethesda (MD)</p><h3>NLM Citation</h3><p>Drugs and Lactation Database (LactMed®) [Internet]. Bethesda (MD): National Institute of Child Health and Human Development; 2006-. Chelonitoxin Poisoning. [Updated 2024 Jun 15].<span class="bk_cite_avail"></span></p></div><div class="small-screen-prev"><a href="/books/n/lactmed/LM896/?report=reader"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 100 100" preserveAspectRatio="none"><path d="M75,30 c-80,60 -80,0 0,60 c-30,-60 -30,0 0,-60"></path><text x="20" y="28" textLength="60" style="font-size:25px">Prev</text></svg></a></div><div class="small-screen-next"><a href="/books/n/lactmed/chikungunya_vaccine/?report=reader"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 100 100" preserveAspectRatio="none"><path d="M25,30c80,60 80,0 0,60 c30,-60 30,0 0,-60"></path><text x="20" y="28" textLength="60" style="font-size:25px">Next</text></svg></a></div></article></div><div id="jr-scripts"><script src="/corehtml/pmc/jatsreader/ptpmc_3.22/js/libs.min.js"> </script><script src="/corehtml/pmc/jatsreader/ptpmc_3.22/js/jr.min.js"> </script></div></div>
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