between 30 minutes and several hours later. At first they get tingling sensations in the lips and tongue, then tingling in the whole face and the extremities, followed by numbness.
Further symptoms include: headache, problems with balance, too much saliva, feeling nauseous, vomiting, diarrhea and abdominal pain.
If you get these symptoms you should see a doctor immediately and also report your illness to the local health authorities, advises FDA.
In very severe cases muscles become paralyzed, including the respiratory muscles, which can lead to death.
Nearly 300 boxes of 22 pounds of the mislabelled fish were distributed from September onwards to wholesalers in Illinois, California and Hawaii from which they were sold on to restaurants and retailers.
One retailer has labelled the fish as "bok", the Korean name for puffer fish.
Meanwhile this week in the UK, it has been reported that supermarket giant ASDA has stopped selling monkfish because of the threat to stocks and the unsustainable way it is being caught.
They have asked celebrity chefs to stop promoting the deep-sea fish as the method most used to harvest it (beam trawling) is damaging underwater habitats.
Puffer fish is becoming an increasingly popular delicacy in the US. But the country most people associate with the puffer fish, also known as blowfish, is Japan where it is called "fugu". In Japan about 100 to 200 people get poisoned by eating puffer fish every year, and about half of them die.
A restaurant meal of fugu in Japan is expensive, and not only because of the fish, but because chefs have to have a special licence to prepare the dish.
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