This is quite good:
Palytoxin poisoning — Palytoxin derives from the microalgae,
Ostreopsis ovate and
O. siamensis, corals, and sea anemones. Palytoxin was originally described in Hawaii but more recently has caused health problems among home aquarium enthusiasts [
37] and after an algal bloom in Italy [
38]. It binds to and disables the sodium/potassium ATPase pump. Human exposure to palytoxin has been described following ingestion of crabs, fish, and shellfish that have fed on palytoxin-containing algae or coral [
39], inhalational exposure from corals in fish tanks or sea air [
37,40-43], and dermal or eye exposure after touching corals that elaborate the toxin [
43-46].
Inhalational exposure from soft corals in aquariums or sea air can produce conjunctivitis, chest pain, fever, shortness of breath, and bronchospasm [
39,47]. Rarely, adult respiratory distress syndrome and acute respiratory failure may occur. Treatment is supportive with administration of antihistamines, inhaled bronchodilators, and systemic corticosteroids.
Although rare, ingestion of contaminated seafood (algae- and reef-feeding fish, crustaceans, and shellfish) can produce neurologic symptoms of paresthesias, weakness, severe uncontrollable muscle cramping (potentially leading to rhabdomyolysis), and hot-cold reversal [
39]. Additional findings may include diaphoresis, vomiting, diarrhea, and severe abdominal cramping. Poisoning may occur in outbreaks with mortality rates as high as 10 percent [
39].