Correct!
4. 1 and 3
The diagnosis is based upon clinical presentation and a thorough history of a patient’s recent dietary intake and environmental exposures. Symptoms typically resolve within 2 to 3 days of exposure. Treatment focuses on supportive care, with fluid replacement and close monitoring of a patient’s respiratory status.
Structure-based immunoassay (i.e., ELISA) and liquid chromatography-mass spectrometry methods can identify brevetoxin metabolites in urine and meal remnants (2,3). While detection of metabolites in urine may be useful in endemic areas, there are inadequate studies to determine whether these assays are sensitive or specific and the laboratory tests may not be readily available to every medical center. In addition, monitoring for K. brevis blooms and the prompt closure of affected harvest areas have been very effective in preventing NSP outbreaks (4).
What is the predicted mortality rate of neurotoxin shellfish poisoning? (Click on the correct answer to be directed to the fifth of six pages)