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Ciguatera fish poisoning: treatment, prevention and management.
Mar Drugs. 2008; 6(3):456-79.MD

Abstract

Ciguatera Fish Poisoning (CFP) is the most frequently reported seafood-toxin illness in the world, and it causes substantial physical and functional impact. It produces a myriad of gastrointestinal, neurologic and/or cardiovascular symptoms which last days to weeks, or even months. Although there are reports of symptom amelioration with some interventions (e.g. IV mannitol), the appropriate treatment for CFP remains unclear to many physicians. We review the literature on the treatments for CFP, including randomized controlled studies and anecdotal reports. The article is intended to clarify treatment options, and provide information about management and prevention of CFP, for emergency room physicians, poison control information providers, other health care providers, and patients.

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Authors+Show Affiliations

Friedman MA
Mount Sinai Medical Center, Miami Beach, Florida 33140, USA. melissafried@yahoo.com
Fleming LE
No affiliation info available
Fernandez M
No affiliation info available
Bienfang P
No affiliation info available
Schrank K
No affiliation info available
Dickey R
No affiliation info available
Bottein MY
No affiliation info available
Backer L
No affiliation info available
Ayyar R
No affiliation info available
Weisman R
No affiliation info available
Watkins S
No affiliation info available
Granade R
No affiliation info available
Reich A
No affiliation info available

MeSH

Ciguatera PoisoningCiguatoxinsHumans

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S.
Review

Language

eng

PubMed ID

19005579

Citation

Friedman, Melissa A., et al. "Ciguatera Fish Poisoning: Treatment, Prevention and Management." Marine Drugs, vol. 6, no. 3, 2008, pp. 456-79.
Friedman MA, Fleming LE, Fernandez M, et al. Ciguatera fish poisoning: treatment, prevention and management. Mar Drugs. 2008;6(3):456-79.
Friedman, M. A., Fleming, L. E., Fernandez, M., Bienfang, P., Schrank, K., Dickey, R., Bottein, M. Y., Backer, L., Ayyar, R., Weisman, R., Watkins, S., Granade, R., & Reich, A. (2008). Ciguatera fish poisoning: treatment, prevention and management. Marine Drugs, 6(3), 456-79. https://doi.org/10.3390/md20080022
Friedman MA, et al. Ciguatera Fish Poisoning: Treatment, Prevention and Management. Mar Drugs. 2008;6(3):456-79. PubMed PMID: 19005579.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ciguatera fish poisoning: treatment, prevention and management. AU - Friedman,Melissa A, AU - Fleming,Lora E, AU - Fernandez,Mercedes, AU - Bienfang,Paul, AU - Schrank,Kathleen, AU - Dickey,Robert, AU - Bottein,Marie-Yasmine, AU - Backer,Lorraine, AU - Ayyar,Ram, AU - Weisman,Richard, AU - Watkins,Sharon, AU - Granade,Ray, AU - Reich,Andrew, Y1 - 2008/08/21/ PY - 2008/02/28/received PY - 2008/07/24/revised PY - 2008/08/19/accepted PY - 2008/11/14/pubmed PY - 2009/1/23/medline PY - 2008/11/14/entrez KW - ciguatera fish poisoning KW - ciguatoxin KW - harmful algal bloom (HAB) KW - human health KW - marine toxins KW - treatment SP - 456 EP - 79 JF - Marine drugs JO - Mar Drugs VL - 6 IS - 3 N2 - Ciguatera Fish Poisoning (CFP) is the most frequently reported seafood-toxin illness in the world, and it causes substantial physical and functional impact. It produces a myriad of gastrointestinal, neurologic and/or cardiovascular symptoms which last days to weeks, or even months. Although there are reports of symptom amelioration with some interventions (e.g. IV mannitol), the appropriate treatment for CFP remains unclear to many physicians. We review the literature on the treatments for CFP, including randomized controlled studies and anecdotal reports. The article is intended to clarify treatment options, and provide information about management and prevention of CFP, for emergency room physicians, poison control information providers, other health care providers, and patients. SN - 1660-3397 UR - https://www.unboundmedicine.com/medline/citation/19005579/full_citation L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/19005579/ DB - PRIME DP - Unbound Medicine ER -