I senaste numret av Clinical Toxicology finns ett konferenspaper "Dangerous palytoxin exposure after boiling coral" där man skriver bland annat att förgiftningsfallen ökar. "Reports regarding human exposure to palytoxin (PLTX) and palytoxin-like compounds have increased in recent years. The main routes of intoxication include oral intake of contaminated seafood or inhalation after direct contact with aerosolized water during Ostreopsis species algal blooms. 1,2 We describe two unusual cases of inhalation exposure to PLTX, involving a father and daughter, after boiling a pot of water containing a rock polluted by the cnidarian zoanthids Palythoa species. Case report: At the end of January 2014, a marine aquarium hobbyist was attempting to remove a colony of zoanthids from a rock by boiling it. During this procedure, the patient (together with his daughter of 18 months) inhaled steam for 10 minutes. After 3 hours both patients developed symptoms of fever, cough, headache, dypnoea, respiratory effects and gastrointestinal discomfort. Within 2 hours, they were admitted to a local emergency department (ED). During the clinical observation the father suffered from vomiting (treated with fl uids) and the child from high fever (treated with paracetamol). Biochemical investigations revealed a moderate leukocytosis (15.96 10 3 / μ L) in the father. Symptoms resolved after 12 hours and the patients were discharged 48 hours later. At 6-month follow-up there was complete resolution of clinical features and the absence of late respiratory manifestations (such as asthma-like symptoms or bronchial infl ammation and bronchocontriction)."