Acute Fish Liver Intoxication: Report of Three Cases

The document reported on three cases of acute fish liver intoxication after consuming the liver of the grouper fish Cephalopholis boenak, which is high in vitamin A. The patients experienced symptoms similar to acute hypervitaminosis A, including dizziness, headache, blurred vision, nausea, vomiting, fever, and skin desquamation. One patient had severe symptoms, including high fever, generalized pain, and skin vesicles, and later developed hair loss and skin peeling. The intoxication was rare, particularly in subtropical regions, and ethanol might have exacerbated the condition. Treatment was mainly supportive.