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Tectus niloticus (Tegulidae, Gastropod) as a Novel Vector of Ciguatera Poisoning: Clinical Characterization and Follow-Up of a Mass Poisoning Event in Nuku Hiva Island (French Polynesia).
Toxins (Basel). 2018 02 28; 10(3)T

Abstract

Ciguatera fish poisoning (CFP) is the most prevalent non-bacterial food-borne form of poisoning in French Polynesia, which results from the consumption of coral reef fish naturally contaminated with ciguatoxins produced by dinoflagellates in the genus Gambierdiscus. Since the early 2000s, this French territory has also witnessed the emergence of atypical forms of ciguatera, known as ciguatera shellfish poisoning (CSP), associated with the consumption of marine invertebrates. In June 2014, nine tourists simultaneously developed a major and persistent poisoning syndrome following the consumption of the gastropod Tectus niloticus collected in Anaho, a secluded bay of Nuku Hiva Island (Marquesas Archipelago, French Polynesia). The unusual nature and severity of this event prompted a multidisciplinary investigation in order to characterize the etiology and document the short/long-term health consequences of this mass-poisoning event. This paper presents the results of clinical investigations based on hospital medical records, medical follow-up conducted six and 20 months post-poisoning, including a case description. This study is the first to describe the medical signature of T. niloticus poisoning in French Polynesia and contributed to alerting local authorities about the potential health hazards associated with the consumption of this gastropod, which is highly prized by local communities in Pacific island countries and territories.

Authors+Show Affiliations

Laboratory of Toxic Microalgae, Institut Louis Malardé (ILM)-UMR 241-EIO, P.O. box 30, 98713 Papeete, Tahiti, French Polynesia. cgatti@ilm.pf.Poison Control Centre and National Toxicology Information Centre-Toxicology Unit, Istituti Clinici Scientifici Maugeri, IRCCS Maugeri Hospital and University of Pavia, 27100 Pavia, Italy. davide.lonati@icsmaugeri.it.Laboratory of Toxic Microalgae, Institut Louis Malardé (ILM)-UMR 241-EIO, P.O. box 30, 98713 Papeete, Tahiti, French Polynesia. tdarius@ilm.pf.Subacute Care Unit, Istituti Clinici Scientifici Maugeri, IRCCS Maugeri Hospital, 27100 Pavia, Italy. arturo.zancan@icsmaugeri.it.Institut de Recherche pour le Développement (IRD)-UMR 241-EIO, P.O. box 529, 98713 Papeete, Tahiti, French Polynesia. melanie.roue@ird.fr.Poison Control Centre and National Toxicology Information Centre-Toxicology Unit, Istituti Clinici Scientifici Maugeri, IRCCS Maugeri Hospital and University of Pavia, 27100 Pavia, Italy. azzurra.schicchi@icsmaugeri.it.Poison Control Centre and National Toxicology Information Centre-Toxicology Unit, Istituti Clinici Scientifici Maugeri, IRCCS Maugeri Hospital and University of Pavia, 27100 Pavia, Italy. carlo.locatelli@icsmaugeri.it.Laboratory of Toxic Microalgae, Institut Louis Malardé (ILM)-UMR 241-EIO, P.O. box 30, 98713 Papeete, Tahiti, French Polynesia. mchinain@ilm.pf.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29495579

Citation

Gatti, Clémence Mahana Iti, et al. "Tectus Niloticus (Tegulidae, Gastropod) as a Novel Vector of Ciguatera Poisoning: Clinical Characterization and Follow-Up of a Mass Poisoning Event in Nuku Hiva Island (French Polynesia)." Toxins, vol. 10, no. 3, 2018.
Gatti CMI, Lonati D, Darius HT, et al. Tectus niloticus (Tegulidae, Gastropod) as a Novel Vector of Ciguatera Poisoning: Clinical Characterization and Follow-Up of a Mass Poisoning Event in Nuku Hiva Island (French Polynesia). Toxins (Basel). 2018;10(3).
Gatti, C. M. I., Lonati, D., Darius, H. T., Zancan, A., Roué, M., Schicchi, A., Locatelli, C. A., & Chinain, M. (2018). Tectus niloticus (Tegulidae, Gastropod) as a Novel Vector of Ciguatera Poisoning: Clinical Characterization and Follow-Up of a Mass Poisoning Event in Nuku Hiva Island (French Polynesia). Toxins, 10(3). https://doi.org/10.3390/toxins10030102
Gatti CMI, et al. Tectus Niloticus (Tegulidae, Gastropod) as a Novel Vector of Ciguatera Poisoning: Clinical Characterization and Follow-Up of a Mass Poisoning Event in Nuku Hiva Island (French Polynesia). Toxins (Basel). 2018 02 28;10(3) PubMed PMID: 29495579.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tectus niloticus (Tegulidae, Gastropod) as a Novel Vector of Ciguatera Poisoning: Clinical Characterization and Follow-Up of a Mass Poisoning Event in Nuku Hiva Island (French Polynesia). AU - Gatti,Clémence Mahana Iti, AU - Lonati,Davide, AU - Darius,Hélène Taiana, AU - Zancan,Arturo, AU - Roué,Mélanie, AU - Schicchi,Azzurra, AU - Locatelli,Carlo Alessandro, AU - Chinain,Mireille, Y1 - 2018/02/28/ PY - 2018/01/15/received PY - 2018/02/19/revised PY - 2018/02/23/accepted PY - 2018/3/3/entrez PY - 2018/3/3/pubmed PY - 2019/2/7/medline KW - French Polynesia KW - Tectus niloticus KW - ciguatera poisoning KW - ciguatoxins KW - clinical follow-up KW - health hazards KW - neurological exploration JF - Toxins JO - Toxins (Basel) VL - 10 IS - 3 N2 - Ciguatera fish poisoning (CFP) is the most prevalent non-bacterial food-borne form of poisoning in French Polynesia, which results from the consumption of coral reef fish naturally contaminated with ciguatoxins produced by dinoflagellates in the genus Gambierdiscus. Since the early 2000s, this French territory has also witnessed the emergence of atypical forms of ciguatera, known as ciguatera shellfish poisoning (CSP), associated with the consumption of marine invertebrates. In June 2014, nine tourists simultaneously developed a major and persistent poisoning syndrome following the consumption of the gastropod Tectus niloticus collected in Anaho, a secluded bay of Nuku Hiva Island (Marquesas Archipelago, French Polynesia). The unusual nature and severity of this event prompted a multidisciplinary investigation in order to characterize the etiology and document the short/long-term health consequences of this mass-poisoning event. This paper presents the results of clinical investigations based on hospital medical records, medical follow-up conducted six and 20 months post-poisoning, including a case description. This study is the first to describe the medical signature of T. niloticus poisoning in French Polynesia and contributed to alerting local authorities about the potential health hazards associated with the consumption of this gastropod, which is highly prized by local communities in Pacific island countries and territories. SN - 2072-6651 UR - https://www.unboundmedicine.com/medline/citation/29495579/Tectus_niloticus__Tegulidae_Gastropod__as_a_Novel_Vector_of_Ciguatera_Poisoning:_Clinical_Characterization_and_Follow_Up_of_a_Mass_Poisoning_Event_in_Nuku_Hiva_Island__French_Polynesia__ DB - PRIME DP - Unbound Medicine ER -