All cases of TTX intoxication described so far appeared in the tropical and subtropical regions of Asia and the Pacific [1,4,7,13] or in the USA, in which case these were caused by fish imported from Japan or Taiwan [2]. Our case is the first report of TTX intoxication from fish captured in the European coast. The trumpet shellfish ingested by the patient belonged to the species Charonia lampas lampa. It had been captured in the Portuguese coast