Which Popular Japanese Delicacy Can Be Deadly If Prepared Incorrectly?

Pufferfish are amazing creatures. Covered in spines and capable of filling their stomachs with water for protection from predators, most pufferfish species have organs laced with a powerful neurotoxin known as tetrodotoxin (TTX) that can cause food poisoning, paralysis, and even death if consumed.

But pufferfish are also quite tasty, so naturally, they’re a delicacy in Japan (and Korea, and increasingly, China). Known as fugu, pufferfish can be served in a variety of ways, such as thinly sliced sashimi or in a broth. It can be added to rice porridge, seared on the outside, breaded and deep-fried, or grilled over charcoal. It’s a low-fat, high-protein fish with a dense, meaty consistency.

Eating fugu in a restaurant in Japan is very safe. It remains an upmarket menu item, though it is becoming more accessible. The serious incidents that occur from eating fugu are nearly always the result of people attempting to (illegally) prepare it at home. After all, TTX is thought to be over 1,000 times more toxic to humans than cyanide. Ingesting the toxin can lead to numbness in the tongue and lips that eventually spreads to the rest of the body, lightheadedness, and vomiting. In serious cases, heart rate increases, blood pressure drops, and muscles, including the diaphragm responsible for breathing, become paralyzed. There is no known antidote, though treatment to artificially support breathing until the toxin is metabolized is often successful.

Fancy some fugu?