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Ciguatera fish poisoning: a first epidemic in Germany highlights an increasing risk for European countries.
Toxicon. 2014 Dec; 91:76-83.T

Abstract

Toxin-producing microalgae are thriving worldwide due to coral reef destruction and global warming with major consequences on ecosystems, international trade and human health. Microalgae belonging to the family of flagellate protists, in particular dinoflagellates, secrete a variety of high-molecular-weight polyether toxins that accumulate through the marine food chain to cause disease in humans by acting as sodium channel activator toxins; ciguatera is the most frequent seafood-borne illness worldwide with 50,000 to 500,000 global incidences per annum and is usually limited to endemic areas located between 35° northern and 35° southern latitude. The rising global incidence frequency renders it a major human health problem, because no curative treatment is available yet and reliable detection assays are lacking. During the last decade ciguatera has increasingly become endemic in previously unaffected areas for two reasons: first global warming has contributed to the emergence of dinoflagellate species in subtropical and even temperate regions that previously had been constrained to tropical areas and second: in Europe globalization of fishing industry and tourism has led to a progressive increase in the number of ciguatera cases and a lack of awareness among medical personnel contributes to under-reporting. We review, through a recent ciguatera outbreak in Germany, the risk for ciguatera poisoning in Europe and highlight characteristic symptoms, current knowledge about disease pathomechanisms and treatment options.

Authors

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Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25448771

Citation

Mattei, César, et al. "Ciguatera Fish Poisoning: a First Epidemic in Germany Highlights an Increasing Risk for European Countries." Toxicon : Official Journal of the International Society On Toxinology, vol. 91, 2014, pp. 76-83.
Mattei C, Vetter I, Eisenblätter A, et al. Ciguatera fish poisoning: a first epidemic in Germany highlights an increasing risk for European countries. Toxicon. 2014;91:76-83.
Mattei, C., Vetter, I., Eisenblätter, A., Krock, B., Ebbecke, M., Desel, H., & Zimmermann, K. (2014). Ciguatera fish poisoning: a first epidemic in Germany highlights an increasing risk for European countries. Toxicon : Official Journal of the International Society On Toxinology, 91, 76-83.
Mattei C, et al. Ciguatera Fish Poisoning: a First Epidemic in Germany Highlights an Increasing Risk for European Countries. Toxicon. 2014;91:76-83. PubMed PMID: 25448771.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ciguatera fish poisoning: a first epidemic in Germany highlights an increasing risk for European countries. AU - Mattei,César, AU - Vetter,Irina, AU - Eisenblätter,Anneka, AU - Krock,Bernd, AU - Ebbecke,Martin, AU - Desel,Herbert, AU - Zimmermann,Katharina, PY - 2014/08/14/received PY - 2014/10/15/revised PY - 2014/10/21/accepted PY - 2014/12/3/entrez PY - 2014/12/3/pubmed PY - 2015/8/8/medline SP - 76 EP - 83 JF - Toxicon : official journal of the International Society on Toxinology JO - Toxicon VL - 91 N2 - Toxin-producing microalgae are thriving worldwide due to coral reef destruction and global warming with major consequences on ecosystems, international trade and human health. Microalgae belonging to the family of flagellate protists, in particular dinoflagellates, secrete a variety of high-molecular-weight polyether toxins that accumulate through the marine food chain to cause disease in humans by acting as sodium channel activator toxins; ciguatera is the most frequent seafood-borne illness worldwide with 50,000 to 500,000 global incidences per annum and is usually limited to endemic areas located between 35° northern and 35° southern latitude. The rising global incidence frequency renders it a major human health problem, because no curative treatment is available yet and reliable detection assays are lacking. During the last decade ciguatera has increasingly become endemic in previously unaffected areas for two reasons: first global warming has contributed to the emergence of dinoflagellate species in subtropical and even temperate regions that previously had been constrained to tropical areas and second: in Europe globalization of fishing industry and tourism has led to a progressive increase in the number of ciguatera cases and a lack of awareness among medical personnel contributes to under-reporting. We review, through a recent ciguatera outbreak in Germany, the risk for ciguatera poisoning in Europe and highlight characteristic symptoms, current knowledge about disease pathomechanisms and treatment options. SN - 1879-3150 UR - https://www.unboundmedicine.com/medline/citation/25448771/Ciguatera_fish_poisoning:_a_first_epidemic_in_Germany_highlights_an_increasing_risk_for_European_countries_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0041-0101(14)00347-X DB - PRIME DP - Unbound Medicine ER -