Tags

Type your tag names separated by a space and hit enter

Ciguatera caused by consumption of humphead wrasse.
Toxicon. 2013 Dec 15; 76:255-9.T

Abstract

Humphead wrasse (Cheilinus undulatus) is an apex predator from coral reefs of the Indo-Pacific region. A food surveillance project using a validated mouse bioassay revealed the presence of ciguatoxins in significantly greater amounts in its flesh than in groupers and other coral reef fishes commonly available in Hong Kong wholesale market. Humphead wrasse has long been known to cause ciguatera, but there was a lack of clinical reports. A 45-year-old woman developed ciguatera after eating humphead wrasse. She required ICU care and infusions of intravenous fluids and dopamine for management of severe hypotension. All 5 published case series are also reviewed to characterise the types, severity and chronicity of ciguatera symptoms after its consumption. In addition to the gastrointestinal, neurological and other features that were typical of ciguatera, some subjects developed sinus bradycardia, hypotension, shock, neuropsychiatric features (e.g. mental exhaustion, depression, insomnia and memory loss), other central nervous system symptoms (e.g. coma, convulsions and ataxia) and myocardial ischaemia. Other subjects still experienced residual symptoms 6 months later; these were mainly neurological or neuropsychiatric complaints and skin pruritus. To prevent ciguatera, the public should avoid eating humphead wrasse and other large coral reef fishes. They should realise that consumption of the high-risk fish may result in more severe and chronic illness, including life-threatening complications and neuropsychiatric features.

Authors+Show Affiliations

Division of Clinical Pharmacology, Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong, China; Centre for Food and Drug Safety, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China; Prince of Wales Hospital Poison Treatment Centre, Shatin, New Territories, Hong Kong, China. Electronic address: tykchan@cuhk.edu.hk.

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

24141055

Citation

Chan, Thomas Y K.. "Ciguatera Caused By Consumption of Humphead Wrasse." Toxicon : Official Journal of the International Society On Toxinology, vol. 76, 2013, pp. 255-9.
Chan TY. Ciguatera caused by consumption of humphead wrasse. Toxicon. 2013;76:255-9.
Chan, T. Y. (2013). Ciguatera caused by consumption of humphead wrasse. Toxicon : Official Journal of the International Society On Toxinology, 76, 255-9. https://doi.org/10.1016/j.toxicon.2013.10.018
Chan TY. Ciguatera Caused By Consumption of Humphead Wrasse. Toxicon. 2013 Dec 15;76:255-9. PubMed PMID: 24141055.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ciguatera caused by consumption of humphead wrasse. A1 - Chan,Thomas Y K, Y1 - 2013/10/17/ PY - 2013/08/07/received PY - 2013/08/28/revised PY - 2013/10/09/accepted PY - 2013/10/22/entrez PY - 2013/10/22/pubmed PY - 2014/8/22/medline KW - Cheilinus undulatus KW - Ciguatera KW - Ciguatoxins KW - Humphead wrasse SP - 255 EP - 9 JF - Toxicon : official journal of the International Society on Toxinology JO - Toxicon VL - 76 N2 - Humphead wrasse (Cheilinus undulatus) is an apex predator from coral reefs of the Indo-Pacific region. A food surveillance project using a validated mouse bioassay revealed the presence of ciguatoxins in significantly greater amounts in its flesh than in groupers and other coral reef fishes commonly available in Hong Kong wholesale market. Humphead wrasse has long been known to cause ciguatera, but there was a lack of clinical reports. A 45-year-old woman developed ciguatera after eating humphead wrasse. She required ICU care and infusions of intravenous fluids and dopamine for management of severe hypotension. All 5 published case series are also reviewed to characterise the types, severity and chronicity of ciguatera symptoms after its consumption. In addition to the gastrointestinal, neurological and other features that were typical of ciguatera, some subjects developed sinus bradycardia, hypotension, shock, neuropsychiatric features (e.g. mental exhaustion, depression, insomnia and memory loss), other central nervous system symptoms (e.g. coma, convulsions and ataxia) and myocardial ischaemia. Other subjects still experienced residual symptoms 6 months later; these were mainly neurological or neuropsychiatric complaints and skin pruritus. To prevent ciguatera, the public should avoid eating humphead wrasse and other large coral reef fishes. They should realise that consumption of the high-risk fish may result in more severe and chronic illness, including life-threatening complications and neuropsychiatric features. SN - 1879-3150 UR - https://www.unboundmedicine.com/medline/citation/24141055/Ciguatera_caused_by_consumption_of_humphead_wrasse_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0041-0101(13)00404-2 DB - PRIME DP - Unbound Medicine ER -