Abstract
This article describes a recent case of ciguatera poisoning treated with intravenous mannitol. Mannitol has been used with good effect in non-controlled studies in acutely severely poisoned patients, but is not described in the treatment of chronic or milder poisoning. Our patient was a 35-year-old Niuean man who had eaten a ciguatoxic fish two weeks previously. His symptoms were not severe but were very unpleasant and restricted his ability to work. He was given a single dose of mannitol (0.66g/kg) as an intravenous infusion over two hours. His symptoms dramatically improved within 24 hours, and within a few days he felt virtually back to his former self. He experienced no side effects to the mannitol. It is suggested that intravenous mannitol may prove to be a useful treatment for mild to moderate ciguatera poisoning, and for patients who present late for treatment.
TY - JOUR
T1 - Treatment of a mild chronic case of ciguatera fish poisoning with intravenous mannitol, a case study.
A1 - Mitchell,Gary,
PY - 2008/1/10/pubmed
PY - 2008/2/15/medline
PY - 2008/1/10/entrez
SP - 155
EP - 7
JF - Pacific health dialog
JO - Pac Health Dialog
VL - 12
IS - 1
N2 - This article describes a recent case of ciguatera poisoning treated with intravenous mannitol. Mannitol has been used with good effect in non-controlled studies in acutely severely poisoned patients, but is not described in the treatment of chronic or milder poisoning. Our patient was a 35-year-old Niuean man who had eaten a ciguatoxic fish two weeks previously. His symptoms were not severe but were very unpleasant and restricted his ability to work. He was given a single dose of mannitol (0.66g/kg) as an intravenous infusion over two hours. His symptoms dramatically improved within 24 hours, and within a few days he felt virtually back to his former self. He experienced no side effects to the mannitol. It is suggested that intravenous mannitol may prove to be a useful treatment for mild to moderate ciguatera poisoning, and for patients who present late for treatment.
SN - 1015-7867
UR - https://www.unboundmedicine.com/medline/citation/18181482/Treatment_of_a_mild_chronic_case_of_ciguatera_fish_poisoning_with_intravenous_mannitol_a_case_study_
L2 - http://www.diseaseinfosearch.org/result/1638
DB - PRIME
DP - Unbound Medicine
ER -