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[Ciguatera fish poisoning].
Presse Med. 2014 Sep; 43(9):902-11.PM

Abstract

Ciguatera, an ichtyosarcotoxism linked to the consumption of usually healthy coral fish is a common poisoning in the Pacific, Caribbean and Indian Ocean where it is endemic. However, increased tourism and commercial transportation of tropical fish for consumption make it an unexceptional intoxication in countries away from its endemic area. Environmental stresses such as climate changes also contribute to the expansion of its geographical area. The non-specific clinical symptomatology is characterized by the occurrence of gastrointestinal, cardiovascular, nervous and general signs few hours after eating a ciguatoxic fish. The diagnosis is clinical and relatively easy in endemic areas but much less for physicians who are rarely confronted with, which is a source of prolonged diagnostic delays and a significant increase in spending. Treatment of ciguatera is symptomatic but new treatments, still experimental, give a real hope for the future.

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Publisher Full Text
linkinghub.elsevier.com
em-consulte.com

Authors+Show Affiliations

Oehler E
Centre hospitalier de Polynésie française, service de médecine interne et polyvalente, avenue du Général-de-Gaulle, 98716 Pirae, Tahiti, Polynésie française. Electronic address: erwan.oehler@cht.pf.
Bouchut J
Centre hospitalier de Polynésie française, service de médecine interne et polyvalente, avenue du Général-de-Gaulle, 98716 Pirae, Tahiti, Polynésie française.

MeSH

Abdominal PainAnimalsBradycardiaCiguatera PoisoningDeglutition DisordersDehydrationDiagnosis, DifferentialDiarrheaEndemic DiseasesGastroenteritisHumansHypertensionMannitolNauseaNervous System DiseasesPruritusShockVomiting

Pub Type(s)

English Abstract
Journal Article
Review

Language

fre

PubMed ID

25001048

Citation

Oehler, Erwan, and Jérémie Bouchut. "[Ciguatera Fish Poisoning]." Presse Medicale (Paris, France : 1983), vol. 43, no. 9, 2014, pp. 902-11.
Oehler E, Bouchut J. [Ciguatera fish poisoning]. Presse Med. 2014;43(9):902-11.
Oehler, E., & Bouchut, J. (2014). [Ciguatera fish poisoning]. Presse Medicale (Paris, France : 1983), 43(9), 902-11. https://doi.org/10.1016/j.lpm.2014.01.019
Oehler E, Bouchut J. [Ciguatera Fish Poisoning]. Presse Med. 2014;43(9):902-11. PubMed PMID: 25001048.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Ciguatera fish poisoning]. AU - Oehler,Erwan, AU - Bouchut,Jérémie, Y1 - 2014/07/04/ PY - 2013/11/06/received PY - 2013/12/22/revised PY - 2014/01/20/accepted PY - 2014/7/9/entrez PY - 2014/7/9/pubmed PY - 2014/11/2/medline SP - 902 EP - 11 JF - Presse medicale (Paris, France : 1983) JO - Presse Med VL - 43 IS - 9 N2 - Ciguatera, an ichtyosarcotoxism linked to the consumption of usually healthy coral fish is a common poisoning in the Pacific, Caribbean and Indian Ocean where it is endemic. However, increased tourism and commercial transportation of tropical fish for consumption make it an unexceptional intoxication in countries away from its endemic area. Environmental stresses such as climate changes also contribute to the expansion of its geographical area. The non-specific clinical symptomatology is characterized by the occurrence of gastrointestinal, cardiovascular, nervous and general signs few hours after eating a ciguatoxic fish. The diagnosis is clinical and relatively easy in endemic areas but much less for physicians who are rarely confronted with, which is a source of prolonged diagnostic delays and a significant increase in spending. Treatment of ciguatera is symptomatic but new treatments, still experimental, give a real hope for the future. SN - 2213-0276 UR - https://www.unboundmedicine.com/medline/citation/25001048/[Ciguatera_fish_poisoning]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0755-4982(14)00306-6 DB - PRIME DP - Unbound Medicine ER -