Tank caused illness. Any input?

phurst

Richmond Reefer
For the sake of convenience, I'm going to copy and paste my original post regarding what happened, and then link to that thread and the thread in my local forum. Both have input from people who were present and affected. Just looking for any input from the big brains in the Chem forum :) Thanks for any additional input.

So I had several friends over last night to help me re do the aquascaping in my 150. We pulled the rocks out of the tank, into a rubbermaid trough, then began designing the aquascape. We ended up drilling a few pieces of rock in the process. Everything went well, and everyone went home. That's when the troubles started. Within a hour or so of everyone leaving, I began to have trouble breathing. I spent all night with a severe wheeze, tightness in the chest, vomiting, shivering, restlessness, a slightly salty, slightly bitter taste in my mouth, and terrible, vivid nightmares when I could sleep. It was one of the most miserable nights I can remember. This morning, I checked in with my friends, and all reported the same symptoms. I still have a little tightness in my chest, and I generally feel like crap.

So, what happened? Did we vaporize some nasty in the rock when we were drilling it? I really can't imagine what happened, but it was horrible.

http://reefcentral.com/forums/showthread.php?t=1885445

And the thread on my local club forum

http://reefcentral.com/forums/showthread.php?t=1882695&page=2
 
You must have breathed in some rock dust and the bacteria that was on it. You should have went to the emergency room that night. Thank god you are alright. Next time you drill any rock, wear a filter mask.
 
That might be something that was put into the air by the drilling, or perhaps a toxin from one of the corals got into your system via skin contact. It's hard to say, but I would wear a mask when drilling live rock, and I was careful about wearing gloves when working in the tank, especially when touching corals or live rock.
 
My wife and one other member who touched neither rock nor water were ill as well, so I'm guessing it must have been something airborne from the rock. Bacteria?
 
Bacteria is a possibility, but I'd suspect something more like a toxin or allergen in the air. That's a fast onset for a bacterial disease, I think, but you could ask a doctor. It could be an allelopathic compound from a coral, for example. Hard to say.
 
Bacteria is a possibility, but I'd suspect something more like a toxin or allergen in the air. That's a fast onset for a bacterial disease, I think, but you could ask a doctor. It could be an allelopathic compound from a coral, for example. Hard to say.

Could also be food poisoning if everyone ate the same thing. The time course does not fit quite right to be food poisoning, but still a possibility.

If you are still having chest pain and difficulty breathing/SOB then I would go to your doctor or the ER now and make surer you did not/are not having an MI or something really bad.

I know some of my corals make my hand numb and have left me feeling light headed. I wonder if you accidentally drilled through a zoa or a paly or something.
 
Could also be food poisoning if everyone ate the same thing. The time course does not fit quite right to be food poisoning, but still a possibility.

If you are still having chest pain and difficulty breathing/SOB then I would go to your doctor or the ER now and make surer you did not/are not having an MI or something really bad.

I know some of my corals make my hand numb and have left me feeling light headed. I wonder if you accidentally drilled through a zoa or a paly or something.

You should also consider something like carbon monoxide poisoning in your house or a gas leak.
 
There was no food served. I'm a bad host :) Everyone's symptoms are gone and we're feeling fine. I wouldn't think it would be O2 (we don't have gas), or we'd likely suffer symptoms all the time, and the effects should have eased considerably with fresh air.
 
I think I may have figured it out. I flipped the light on to see how everything was doing, and I noticed the top 2 shelf rocks we drilled have dinoflagelates on them. They can apparently be fairly toxic. If we vaporized some, that could have been it.
 
That could definitely be it. Now, tell us more about the nightmares. Specifics.

Hey who knows, it could help us reach a conclusion!
 
Saw this: http://www.botany.uwc.ac.za/envfacts/redtides/

Diarrhetic Shellfish Poisoning (DSP)

DSP has only recently been recorded for the first time on the South African coast. The causative organism has been identified as the dinoflagellate Dinophysis acuminata, which produces the toxin okadaic acid. The symptoms, which usually occur within four hours but may persist for three days, include diarrhoea, nausea, vomiting, stomach ache and shivering. It is likely that DSP has gone unreported on many occasions because of the relatively mild nature of the symptoms. In addition, the symptoms may be confused with those of gastro-enteritis associated with the consumption of shellfish from polluted waters.
 
Thanks for the link.

I don't remember much about the nightmares, except they were really bizarre and vivid. Maybe I dreamed I was being eaten by a giant paly :)
 
Dinos, sponges, algae, bacteria, diatoms & cyano all produce toxins and some species are quite toxic.

CIGUATERA AND OTHER MARINE BIOTOXINS
http://www.itg.be/evde/46_Marine_biotoxinsp3.htm

From it:

Gymnodinium breve (previously known as Ptychodiscus brevis) is found in the Caribbean and the Gulf of Mexico. This dinoflagellate produces at least two brevetoxins. These are fat-soluble complex molecules (polyketides). They disturb neuromuscular transmission. After being inhaled as aerosol they cause bronchial spasms. This may be manifested as an "asthma" crisis, rhinitis, sneezing, cough or burning eyes after walking on the beach while a strong breeze which splashes up water (with the toxin). This kind of aerosol is facilitated by the fact that Gymnodinium is a very fragile organism which easily breaks in the surf, releasing the endotoxins. The Alexandrium sp. in the Pacific or in the North Atlantic are much less fragile and do not cause irritation via aerosol. Brevetoxins may be present in molluscs (oysters, mussels) during an algal bloom, but are not present in fish, crabs or snails. If the toxins are absorbed in the intestine, nausea and vomiting, abdominal pain and diarrhoea occur. There then follows paresthesia around the mouth, which extends further to the throat, trunk and limbs. Ataxia, mydriasis, vertigo, breathing difficulties, headache and bradycardia may follow. As yet no deaths due to NSP have been reported. The diagnosis is clinical. There is no antidote.


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This is scary, but you have to ingest the toxin produced by diatoms usually from eating shellfish:

3.6.4 ASP

Chemical structure of domoic acid, which causes amnesic shellfish poisoning. Toxin produces by Pseudonitzschia sp. Copyright ITM

ASP is caused by domoic acid, a neurotoxic tricarboxylic amino acid structurally related to glutamic acid. It was chemically identified after its isolation in 1958 from the seaweed Chondria armata, found off the coast of Japan. In 1987, more than 100 people became ill and several people died following the consumption of blue mussels caught off Prince Edward Island, Canada. Canadian scientists found that domoic acid had entered the food chain when the mussels fed on a toxic algal bloom of the pennate diatom Pseudonitzschia pungens forma multiseries. This is therefore not a toxin of a dinoflagellate, but from diatoms. Domoic acid is known to occur at low concentrations in various red algae (in Chondria armata, Alsidium corallinum and Digenea simplex). Some bacteria which are present in molluscs may use domoic acid as substrate. Their possible role in detoxification of their host needs further research. If the concentration of domoic acid is more than 20 ppm, the seafood is unsuitable for human consumption. After eating toxic mussels, people experience an initial feeling of nausea and diarrhoea, together with hyperexcitation, followed by symptoms attributable to necrosis of certain parts of the brain such as the amygdala and parts of the hypothalamus. The cerebral lesions may be permanent. Disturbed behaviour and loss of memory, as well as involuntary facial grimaces, convulsions, coma and death may follow. Sometimes the chronic symptoms are similar to those of Alzheimer’s disease.
 
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After thinking about this for a while, personally I would kill what ever organism you have on the rock using several bleach baths. I would worry about this occuring again while you work on the tank in the future. Just my two cents.
 
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