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Short report: persistent bradycardia caused by ciguatoxin poisoning after barracuda fish eggs ingestion in southern Taiwan.
Am J Trop Med Hyg. 2005 Dec; 73(6):1026-7.AJ

Abstract

We report an outbreak of ciguatoxin poisoning after barracuda fish ingestion in southern Taiwan. Three members of a family developed nausea, vomiting, watery diarrhea, and myalgias about 1 hour after eating three to ten eggs of a barracuda fish. Numbness of the lips and extremities followed the gastrointestinal symptoms about 2 hours after ingestion. Other manifestations included hyperthermia, hypotension, bradycardia, and hyperreflexia. Bradycardia persisted for several days, and one patient required a continuous infusion of intravenous atropine totaling 40 mg over 2 days. Further follow-up of the patients disclosed improvement of neurologic sequelae and bradycardia, but sensory abnormalities resolved several months later. In conclusion, ciguatoxin poisoning causes mainly gastrointestinal and neurologic effects of variable severity. In two patients with ciguatoxin poisoning after barracuda fish egg ingestion, persistent bradycardia required prolonged atropine infusion.

Authors+Show Affiliations

Division of Nephrology, Department of Medicine, Kaohsiung Veterans General Hospital, Taiwan. ymhung1@doctor.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16354806

Citation

Hung, Yao-Min, et al. "Short Report: Persistent Bradycardia Caused By Ciguatoxin Poisoning After Barracuda Fish Eggs Ingestion in Southern Taiwan." The American Journal of Tropical Medicine and Hygiene, vol. 73, no. 6, 2005, pp. 1026-7.
Hung YM, Hung SY, Chou KJ, et al. Short report: persistent bradycardia caused by ciguatoxin poisoning after barracuda fish eggs ingestion in southern Taiwan. Am J Trop Med Hyg. 2005;73(6):1026-7.
Hung, Y. M., Hung, S. Y., Chou, K. J., Huang, N. C., Tung, C. N., Hwang, D. F., & Chung, H. M. (2005). Short report: persistent bradycardia caused by ciguatoxin poisoning after barracuda fish eggs ingestion in southern Taiwan. The American Journal of Tropical Medicine and Hygiene, 73(6), 1026-7.
Hung YM, et al. Short Report: Persistent Bradycardia Caused By Ciguatoxin Poisoning After Barracuda Fish Eggs Ingestion in Southern Taiwan. Am J Trop Med Hyg. 2005;73(6):1026-7. PubMed PMID: 16354806.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Short report: persistent bradycardia caused by ciguatoxin poisoning after barracuda fish eggs ingestion in southern Taiwan. AU - Hung,Yao-Min, AU - Hung,Shih-Yuan, AU - Chou,Kang-Ju, AU - Huang,Neng-Chyan, AU - Tung,Chung-Ni, AU - Hwang,Deng-Fwu, AU - Chung,Hsiao-Min, PY - 2005/12/16/pubmed PY - 2006/6/21/medline PY - 2005/12/16/entrez SP - 1026 EP - 7 JF - The American journal of tropical medicine and hygiene JO - Am J Trop Med Hyg VL - 73 IS - 6 N2 - We report an outbreak of ciguatoxin poisoning after barracuda fish ingestion in southern Taiwan. Three members of a family developed nausea, vomiting, watery diarrhea, and myalgias about 1 hour after eating three to ten eggs of a barracuda fish. Numbness of the lips and extremities followed the gastrointestinal symptoms about 2 hours after ingestion. Other manifestations included hyperthermia, hypotension, bradycardia, and hyperreflexia. Bradycardia persisted for several days, and one patient required a continuous infusion of intravenous atropine totaling 40 mg over 2 days. Further follow-up of the patients disclosed improvement of neurologic sequelae and bradycardia, but sensory abnormalities resolved several months later. In conclusion, ciguatoxin poisoning causes mainly gastrointestinal and neurologic effects of variable severity. In two patients with ciguatoxin poisoning after barracuda fish egg ingestion, persistent bradycardia required prolonged atropine infusion. SN - 0002-9637 UR - https://www.unboundmedicine.com/medline/citation/16354806/Short_report:_persistent_bradycardia_caused_by_ciguatoxin_poisoning_after_barracuda_fish_eggs_ingestion_in_southern_Taiwan_ DB - PRIME DP - Unbound Medicine ER -