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[Imported tropical fish causes ciguatera fish poisoning in Germany].
Dtsch Med Wochenschr. 2015 Jan; 140(2):125-30.DM

Abstract

Ciguatera is a seafood-borne illness caused by consumption of tropical fish contaminated with ciguatoxins, lipophilic polyethers that are produced in benthic dinoflagellates and accumulate through the marine food chain. Ciguatera cases in Europe usually occur in travellers returning from tropical and subtropical regions of the Pacific and Carribean, where ciguatera is endemic. In 2012, several cases of ciguatera occurred in Germany due to sale of contaminated fish products originating from the Indian Ocean. Although the symptomatology in these cases were typical of ciguatera, with patients reporting gastrointestinal discomfort including nausea, vomiting and diarrhea as well as neurological effects including widespread intense pruritus, paresthesias, hypothermia or altered temperature sensation and diffuse pain, correct diagnosis was delayed in all cases due to lack of awareness of the treating medical practitioners. In light of increasing global mobility, trade, and occurrence of ciguatoxic fish in previously non-endemic areas, ciguatera should be considered as a possible diagnosis if gastrointestinal and neurological symptoms occur shortly after consumption of fish.

Authors+Show Affiliations

Klinik für Anästhesiologie, Universitätsklinikum Erlangen.Klinik für Anästhesiologie, Universitätsklinikum Erlangen.Institute for Molecular Biosciences, The University of Queensland.Giftinformationszentrum Nord, Göttingen.Bundesinstitut für Risikobewertung, Berlin.Giftinformationszentrum Nord, Göttingen.

Pub Type(s)

English Abstract
Journal Article
Review

Language

ger

PubMed ID

25612286

Citation

Zimmermann, Katharina, et al. "[Imported Tropical Fish Causes Ciguatera Fish Poisoning in Germany]." Deutsche Medizinische Wochenschrift (1946), vol. 140, no. 2, 2015, pp. 125-30.
Zimmermann K, Eisenblätter A, Vetter I, et al. [Imported tropical fish causes ciguatera fish poisoning in Germany]. Dtsch Med Wochenschr. 2015;140(2):125-30.
Zimmermann, K., Eisenblätter, A., Vetter, I., Ebbecke, M., Friedemann, M., & Desel, H. (2015). [Imported tropical fish causes ciguatera fish poisoning in Germany]. Deutsche Medizinische Wochenschrift (1946), 140(2), 125-30. https://doi.org/10.1055/s-0040-100439
Zimmermann K, et al. [Imported Tropical Fish Causes Ciguatera Fish Poisoning in Germany]. Dtsch Med Wochenschr. 2015;140(2):125-30. PubMed PMID: 25612286.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Imported tropical fish causes ciguatera fish poisoning in Germany]. AU - Zimmermann,Katharina, AU - Eisenblätter,Anneka, AU - Vetter,Irina, AU - Ebbecke,Martin, AU - Friedemann,Miriam, AU - Desel,Herbert, Y1 - 2015/01/22/ PY - 2015/1/23/entrez PY - 2015/1/23/pubmed PY - 2015/3/21/medline SP - 125 EP - 30 JF - Deutsche medizinische Wochenschrift (1946) JO - Dtsch Med Wochenschr VL - 140 IS - 2 N2 - Ciguatera is a seafood-borne illness caused by consumption of tropical fish contaminated with ciguatoxins, lipophilic polyethers that are produced in benthic dinoflagellates and accumulate through the marine food chain. Ciguatera cases in Europe usually occur in travellers returning from tropical and subtropical regions of the Pacific and Carribean, where ciguatera is endemic. In 2012, several cases of ciguatera occurred in Germany due to sale of contaminated fish products originating from the Indian Ocean. Although the symptomatology in these cases were typical of ciguatera, with patients reporting gastrointestinal discomfort including nausea, vomiting and diarrhea as well as neurological effects including widespread intense pruritus, paresthesias, hypothermia or altered temperature sensation and diffuse pain, correct diagnosis was delayed in all cases due to lack of awareness of the treating medical practitioners. In light of increasing global mobility, trade, and occurrence of ciguatoxic fish in previously non-endemic areas, ciguatera should be considered as a possible diagnosis if gastrointestinal and neurological symptoms occur shortly after consumption of fish. SN - 1439-4413 UR - https://www.unboundmedicine.com/medline/citation/25612286/[Imported_tropical_fish_causes_ciguatera_fish_poisoning_in_Germany]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-0040-100439 DB - PRIME DP - Unbound Medicine ER -