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Incidence and clinical characteristics of ciguatera fish poisoning in Guadeloupe (French West Indies) between 2013 and 2016: a retrospective cases-series.
Sci Rep. 2018 02 15; 8(1):3095.SR

Abstract

This retrospective case study analysed the incidence and symptoms of ciguatera fish poisoning (ciguatera) in Guadeloupe (French West Indies) between 2013 and 2016. Cases attending the emergency departments of the two public hospitals and the reports received by the regional health authority in charge of monitoring (ARS) were compiled. Two hundred and thirty-four cases of poisoning were observed, with a mean annual incidence of 1.47/10,000 (95% CI): 1.29-1.66), i.e 5 times higher than the previously reported incidence (1996-2006). The main species described as being responsible for poisoning were fish from the Carangidae family (n = 47) (jack), followed by fish from the Lutjanidae family (n = 27) (snapper), Serranidae family (n = 15) (grouper), Sphyraenidae family (n = 12) (barracuda), and Mullidae family (n = 12) (goatfish). One case of lionfish ciguatera was observed. 93.9% of patients experienced gastrointestinal symptoms, 76.0% presented neurological signs (mainly paresthesia, dysesthesia and pruritus) and 40.3% presented cardiovascular symptoms (bradycardia and/or hypotension). A high frequency (61.4%) of hypothermia (body temperature <36.5 °C) was observed. This study reports for the first time the relatively high frequency of cardiac symptoms and low body temperature. The monitoring of ciguatera poisoning throughout the Caribbean region must be improved, notably after reef disturbance due to Irma and Maria major cyclones.

Authors+Show Affiliations

French West Indies Toxicovigilance Coordination, Basse-Terre Hospital, Basse-Terre, France. denis.boucaud@gmail.com.Research Unit EA 4651 Aliments Bioprocédés Toxicologie Environnements (ABTE), IFR146 ICORE, Normandie Université de Caen, Esplanade de la paix, Caen, France.Department of Critical Care and Emergency Unit, Basse-Terre Hospital, Basse-Terre, France.Santé publique France, French national public health agency, Regional unit (Cire) Antilles, Saint-Maurice, France.Santé publique France, French national public health agency, Regional unit (Cire) Antilles, Saint-Maurice, France.Agence Régionale de Santé Guadeloupe, Monitoring and health alert unit, Gourbeyre, France.Department of Critical Care and Emergency Unit, Pointe-à-Pitre University Hospital, Pointe-à-Pitre, France.Poison and Toxicovigilance Centre, Fernand Widal Hospital, Paris, France.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29449664

Citation

Boucaud-Maitre, Denis, et al. "Incidence and Clinical Characteristics of Ciguatera Fish Poisoning in Guadeloupe (French West Indies) Between 2013 and 2016: a Retrospective Cases-series." Scientific Reports, vol. 8, no. 1, 2018, p. 3095.
Boucaud-Maitre D, Vernoux JP, Pelczar S, et al. Incidence and clinical characteristics of ciguatera fish poisoning in Guadeloupe (French West Indies) between 2013 and 2016: a retrospective cases-series. Sci Rep. 2018;8(1):3095.
Boucaud-Maitre, D., Vernoux, J. P., Pelczar, S., Daudens-Vaysse, E., Aubert, L., Boa, S., Ferracci, S., & Garnier, R. (2018). Incidence and clinical characteristics of ciguatera fish poisoning in Guadeloupe (French West Indies) between 2013 and 2016: a retrospective cases-series. Scientific Reports, 8(1), 3095. https://doi.org/10.1038/s41598-018-21373-2
Boucaud-Maitre D, et al. Incidence and Clinical Characteristics of Ciguatera Fish Poisoning in Guadeloupe (French West Indies) Between 2013 and 2016: a Retrospective Cases-series. Sci Rep. 2018 02 15;8(1):3095. PubMed PMID: 29449664.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incidence and clinical characteristics of ciguatera fish poisoning in Guadeloupe (French West Indies) between 2013 and 2016: a retrospective cases-series. AU - Boucaud-Maitre,Denis, AU - Vernoux,Jean-Paul, AU - Pelczar,Stéphane, AU - Daudens-Vaysse,Elise, AU - Aubert,Lyderic, AU - Boa,Sylvie, AU - Ferracci,Serge, AU - Garnier,Robert, Y1 - 2018/02/15/ PY - 2018/01/17/received PY - 2018/02/02/accepted PY - 2018/2/17/entrez PY - 2018/2/17/pubmed PY - 2019/10/30/medline SP - 3095 EP - 3095 JF - Scientific reports JO - Sci Rep VL - 8 IS - 1 N2 - This retrospective case study analysed the incidence and symptoms of ciguatera fish poisoning (ciguatera) in Guadeloupe (French West Indies) between 2013 and 2016. Cases attending the emergency departments of the two public hospitals and the reports received by the regional health authority in charge of monitoring (ARS) were compiled. Two hundred and thirty-four cases of poisoning were observed, with a mean annual incidence of 1.47/10,000 (95% CI): 1.29-1.66), i.e 5 times higher than the previously reported incidence (1996-2006). The main species described as being responsible for poisoning were fish from the Carangidae family (n = 47) (jack), followed by fish from the Lutjanidae family (n = 27) (snapper), Serranidae family (n = 15) (grouper), Sphyraenidae family (n = 12) (barracuda), and Mullidae family (n = 12) (goatfish). One case of lionfish ciguatera was observed. 93.9% of patients experienced gastrointestinal symptoms, 76.0% presented neurological signs (mainly paresthesia, dysesthesia and pruritus) and 40.3% presented cardiovascular symptoms (bradycardia and/or hypotension). A high frequency (61.4%) of hypothermia (body temperature <36.5 °C) was observed. This study reports for the first time the relatively high frequency of cardiac symptoms and low body temperature. The monitoring of ciguatera poisoning throughout the Caribbean region must be improved, notably after reef disturbance due to Irma and Maria major cyclones. SN - 2045-2322 UR - https://www.unboundmedicine.com/medline/citation/29449664/Incidence_and_clinical_characteristics_of_ciguatera_fish_poisoning_in_Guadeloupe__French_West_Indies__between_2013_and_2016:_a_retrospective_cases_series_ L2 - http://dx.doi.org/10.1038/s41598-018-21373-2 DB - PRIME DP - Unbound Medicine ER -