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Jamaican vomiting sickness, also known as toxic hypoglycemic syndrome (THS), [1] acute ackee fruit intoxication, [2] or ackee poisoning, [1] is an acute illness caused by the toxins hypoglycin A and hypoglycin B, which are present in fruit of the ackee tree.
There are over 100 names for this fruit across different regions, including great morinda, Indian mulberry, noni, beach mulberry, vomit fruit, awl tree, and rotten cheese fruit. [ 5 ] The pungent odour of the fresh fruit has made it a famine food in most regions, but it remains a staple food among some cultures and is used in traditional medicine.
The vomiting act encompasses three types of outputs initiated by the chemoreceptor trigger zone: Motor, parasympathetic nervous system (PNS), and sympathetic nervous system (SNS). They are as follows: Increased salivation to protect tooth enamel from stomach acids. [12] (Excessive vomiting leads to dental erosion.) This is part of the PNS output.
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Unlike typical vomiting, regurgitation is typically described as effortless and unforced. [2] There is seldom nausea preceding the expulsion, and the undigested food lacks the bitter taste and odour of stomach acid and bile. [2] Symptoms can begin to manifest at any point from the ingestion of the meal to two hours thereafter. [3]
Alcoholic ketoacidosis (AKA) is a specific group of symptoms and metabolic state related to alcohol use. [3] Symptoms often include abdominal pain, vomiting, agitation, a fast respiratory rate, and a specific "fruity" smell. [2]
Taste aversion does not require cognitive awareness to develop—that is, the organism does not have to consciously recognize a connection between the perceived cause (the taste) and effect (the aversion). In fact, the subject may hope to enjoy the substance, but the aversion persists. Also, taste aversion generally requires only one trial.
The fruit was sold from May 1, 2022, through Nov. 15, 2022 and the same dates in 2023. California and Florida have the most cases. Listeria outbreak causes recall of fruit sold by Walmart, Publix ...