Symptom onset is usually within 1 to 4 h, but can occur up to 12 h after exposure. Ingestions leads to nausea, vomiting, abdominal cramping, and diarrhea [10] . Less commonly, high fever, headache, myalgia, prostration, and dry cough develop. Symptoms resolve after a day [95] , but patients may be incapacitated for as much as 2 weeks. In severe cases, pulmonary edema or respiratory distress syndrome may develop. Death also may occur from dehydration [10] .