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Poisoning

Pufferfish can be lethal if not served properly. Puffer poisoning usually results from consumption of incorrectly prepared puffer soup, fugu chiri, or occasionally from raw puffer meat, sashimi fugu. While chiri is much more likely to cause death, sashimi fugu often causes intoxication, light-headedness, and numbness of the lips. Pufferfish tetrodotoxin deadens the tongue and lips, and induces dizziness and vomiting, followed by numbness and prickling over the body, rapid heart rate, decreased blood pressure, and muscle paralysis. The toxin paralyzes the diaphragm muscle and stops the person who has ingested it from breathing. People who live longer than 24 hours typically survive, although possibly after a coma lasting several days.

The source of tetrodotoxin in puffers has been a matter of debate, but it is increasingly accepted that bacteria in the fish's intestinal tract are the source.

Saxitoxin, the cause of paralytic shellfish poisoning and red tide, can also be found in certain puffers.