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Infectious and toxic syndromes from fish and shellfish consumption. A review.
Arch Intern Med. 1989 Aug; 149(8):1735-40.AI

Abstract

Primary care physicians care for large numbers of patients presenting with "food poisoning" or gastroenteritis. When a patient who presents with acute gastrointestinal illness, especially in conjunction with neurologic or cutaneous symptoms, is evaluated, the history should focus on past seafood consumption (particularly raw or undercooked seafood). The infectious syndromes are generally self-limited and respond to supportive care; exceptions are those caused by Vibrio cholerae and Vibrio vulnificus, which may be fatal in severe cases. The toxic syndromes are uncommon and fall into two categories: the histaminelike syndrome of scombroid poisoning and the neurotoxic syndromes, including ciguatera, paralytic shellfish poisoning, and puffer fish poisoning. Recognition of these clinical entities may lead to more appropriate management and preventive measures.

Authors+Show Affiliations

Department of Emergency Medicine, Georgetown University Hospital, Washington, DC 20007.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

2669661

Citation

Eastaugh, J, and S Shepherd. "Infectious and Toxic Syndromes From Fish and Shellfish Consumption. a Review." Archives of Internal Medicine, vol. 149, no. 8, 1989, pp. 1735-40.
Eastaugh J, Shepherd S. Infectious and toxic syndromes from fish and shellfish consumption. A review. Arch Intern Med. 1989;149(8):1735-40.
Eastaugh, J., & Shepherd, S. (1989). Infectious and toxic syndromes from fish and shellfish consumption. A review. Archives of Internal Medicine, 149(8), 1735-40.
Eastaugh J, Shepherd S. Infectious and Toxic Syndromes From Fish and Shellfish Consumption. a Review. Arch Intern Med. 1989;149(8):1735-40. PubMed PMID: 2669661.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Infectious and toxic syndromes from fish and shellfish consumption. A review. AU - Eastaugh,J, AU - Shepherd,S, PY - 1989/8/1/pubmed PY - 1989/8/1/medline PY - 1989/8/1/entrez SP - 1735 EP - 40 JF - Archives of internal medicine JO - Arch Intern Med VL - 149 IS - 8 N2 - Primary care physicians care for large numbers of patients presenting with "food poisoning" or gastroenteritis. When a patient who presents with acute gastrointestinal illness, especially in conjunction with neurologic or cutaneous symptoms, is evaluated, the history should focus on past seafood consumption (particularly raw or undercooked seafood). The infectious syndromes are generally self-limited and respond to supportive care; exceptions are those caused by Vibrio cholerae and Vibrio vulnificus, which may be fatal in severe cases. The toxic syndromes are uncommon and fall into two categories: the histaminelike syndrome of scombroid poisoning and the neurotoxic syndromes, including ciguatera, paralytic shellfish poisoning, and puffer fish poisoning. Recognition of these clinical entities may lead to more appropriate management and preventive measures. SN - 0003-9926 UR - https://www.unboundmedicine.com/medline/citation/2669661/Infectious_and_toxic_syndromes_from_fish_and_shellfish_consumption__A_review_ L2 - https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/vol/149/pg/1735 DB - PRIME DP - Unbound Medicine ER -