Freshwater Pufferfish Poisoning

In early January 2026, Indian scientists confirmed the country’s first verified case of freshwater pufferfish poisoning.

  • The symptoms were consistent with tetrodotoxin (TTX) exposure, a powerful neurotoxin that blocks sodium channels in nerve cells, leading to numbness, vomiting, paralysis and potentially fatal respiratory failure; there is no known antidote.
  • Pufferfish (order Tetraodontiformes) are present in Indian freshwater systems, with 32 species across eight genera, mainly in the Western Ghats and river basins such as the Ganga, Brahmaputra and Mahanadi.
  • TTX is believed to originate from symbiotic bacteria (including Vibrio, Pseudomonas, Aeromonas and Bacillus), not from the fish themselves; Indian research on these microbial ....
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