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Two clusters of ciguatera fish poisoning in Paris, France, related to tropical fish imported from the French Caribbean by travelers.
J Travel Med. 2014 Nov-Dec; 21(6):397-402.JT

Abstract

BACKGROUND

Ciguatera fish poisoning (CFP) is a food-borne illness due to the consumption of reef fish containing pathogenic toxins. CFP is endemic to tropical areas and may be described in travelers in non-endemic areas.

METHODS

We describe two clusters of autochthonous cases of CFP in Paris, France. They were related to two fish caught in Guadeloupe (French West Indies) and consumed in Paris after being air-transported in a cooler. In both cases, fish flesh was analyzed and the presence of ciguatoxins by mouse bioassay (MBA) was confirmed.

RESULTS

The first cluster involved eight individuals among whom five presented gastrointestinal symptoms and four presented neurological symptoms after consuming barracuda flesh (Sphyraena barracuda). The second cluster involved a couple who consumed a grey snapper (Lutjanus griseus). Most of them consulted at different emergency departments in the region of Paris.

CONCLUSIONS

CFP may be seen in non-traveler patients outside endemic countries resulting from imported species of fish. Thus, CFP may be undiagnosed as physicians are not aware of this tropical disease outside endemic countries. The detection of ciguatoxins by MBA in the French National Reference Laboratory is useful in the confirmation of the diagnosis.

Authors+Show Affiliations

Infectious and Tropical Diseases Department, Assistance Publique-Hôpitaux de Paris, Groupe Hospitalier Pitié-Salpêtrière, Paris, France; Faculté de Médecine, Université Pierre et Marie Curie, Paris, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25345983

Citation

Epelboin, Loïc, et al. "Two Clusters of Ciguatera Fish Poisoning in Paris, France, Related to Tropical Fish Imported From the French Caribbean By Travelers." Journal of Travel Medicine, vol. 21, no. 6, 2014, pp. 397-402.
Epelboin L, Pérignon A, Hossen V, et al. Two clusters of ciguatera fish poisoning in Paris, France, related to tropical fish imported from the French Caribbean by travelers. J Travel Med. 2014;21(6):397-402.
Epelboin, L., Pérignon, A., Hossen, V., Vincent, R., Krys, S., & Caumes, E. (2014). Two clusters of ciguatera fish poisoning in Paris, France, related to tropical fish imported from the French Caribbean by travelers. Journal of Travel Medicine, 21(6), 397-402. https://doi.org/10.1111/jtm.12161
Epelboin L, et al. Two Clusters of Ciguatera Fish Poisoning in Paris, France, Related to Tropical Fish Imported From the French Caribbean By Travelers. J Travel Med. 2014 Nov-Dec;21(6):397-402. PubMed PMID: 25345983.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Two clusters of ciguatera fish poisoning in Paris, France, related to tropical fish imported from the French Caribbean by travelers. AU - Epelboin,Loïc, AU - Pérignon,Alice, AU - Hossen,Virginie, AU - Vincent,Renaud, AU - Krys,Sophie, AU - Caumes,Eric, PY - 2014/02/17/received PY - 2014/08/08/revised PY - 2014/08/19/accepted PY - 2014/10/28/entrez PY - 2014/10/28/pubmed PY - 2015/7/2/medline SP - 397 EP - 402 JF - Journal of travel medicine JO - J Travel Med VL - 21 IS - 6 N2 - BACKGROUND: Ciguatera fish poisoning (CFP) is a food-borne illness due to the consumption of reef fish containing pathogenic toxins. CFP is endemic to tropical areas and may be described in travelers in non-endemic areas. METHODS: We describe two clusters of autochthonous cases of CFP in Paris, France. They were related to two fish caught in Guadeloupe (French West Indies) and consumed in Paris after being air-transported in a cooler. In both cases, fish flesh was analyzed and the presence of ciguatoxins by mouse bioassay (MBA) was confirmed. RESULTS: The first cluster involved eight individuals among whom five presented gastrointestinal symptoms and four presented neurological symptoms after consuming barracuda flesh (Sphyraena barracuda). The second cluster involved a couple who consumed a grey snapper (Lutjanus griseus). Most of them consulted at different emergency departments in the region of Paris. CONCLUSIONS: CFP may be seen in non-traveler patients outside endemic countries resulting from imported species of fish. Thus, CFP may be undiagnosed as physicians are not aware of this tropical disease outside endemic countries. The detection of ciguatoxins by MBA in the French National Reference Laboratory is useful in the confirmation of the diagnosis. SN - 1708-8305 UR - https://www.unboundmedicine.com/medline/citation/25345983/Two_clusters_of_ciguatera_fish_poisoning_in_Paris_France_related_to_tropical_fish_imported_from_the_French_Caribbean_by_travelers_ L2 - https://academic.oup.com/jtm/article-lookup/doi/10.1111/jtm.12161 DB - PRIME DP - Unbound Medicine ER -