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What is Tetrodotoxin (TTX)?

Feb. 24, 2026

Food safety authorities and doctors suspect that the severe illness in people who consumed seafood at a restaurant in Vizhinjam, Kerala, was caused by contamination with a highly potent marine neurotoxin, likely tetrodotoxin (TTX).

About Tetrodotoxin (TTX):

  • It is an extremely potent marine neurotoxin.
  • It naturally occurs in the skin, intestine, and liver of some fish in the family Tetraodontidae.
    • Examples include puffer fish, porcupine fish, ocean sunfish, and some species of newts and salamanders.
  • Human poisonings occur when the flesh and/or organs of the fish are improperly prepared and eaten.
  • TTX interferes with the transmission of signals from nerves to muscles and causes an increasing paralysis of the muscles of the body.
  • Its toxicity is more than 1000 times greater than sodium cyanide.
  • TTX poisoning can be fatal.
  • It has no known antidote. Treatment is mainly supportive.

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