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Junctional bradycardia caused by ciguatera intoxication.
BMJ Case Rep. 2019 May 30; 12(5)BC

Abstract

Ciguatera is a common but underreported tropical disease caused by the consumption of coral reef fish contaminated by ciguatoxins. Gastrointestinal and neurological symptoms predominate, but may be accompanied by cardiovascular features such as hypotension and sinus bradycardia. Here, we report an unusual case of junctional bradycardia caused by ciguatera in the Caribbean; to our knowledge, the first such report from the region. An increase in global sea temperatures is predicted to lead to the spread of ciguatera beyond traditional endemic areas, and the globalisation of trade in coral reef fish has resulted in sporadic cases occurring in developed countries far away from endemic areas. This case serves as a reminder to consider environmental intoxications such as ciguatera within the differential diagnosis of bradycardias.

Authors+Show Affiliations

Accident and Emergency, NHS Fife, Kirkcaldy, UK. Emergency Department, Dr Horacio E Oduber Hospital, Oranjestad, Aruba.Emergency Department, Dr Horacio E Oduber Hospital, Oranjestad, Aruba. Emergency Department, Spaarne Gasthuis, Haarlem, The Netherlands.Emergency Department, Dr Horacio E Oduber Hospital, Oranjestad, Aruba. VU medisch centrum School of Medical Sciences, Amsterdam, The Netherlands.Emergency Department, Dr Horacio E Oduber Hospital, Oranjestad, Aruba.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

31151977

Citation

Raman, Rajendra, et al. "Junctional Bradycardia Caused By Ciguatera Intoxication." BMJ Case Reports, vol. 12, no. 5, 2019.
Raman R, Coppes S, Hellingman T, et al. Junctional bradycardia caused by ciguatera intoxication. BMJ Case Rep. 2019;12(5).
Raman, R., Coppes, S., Hellingman, T., & Laclé, C. (2019). Junctional bradycardia caused by ciguatera intoxication. BMJ Case Reports, 12(5). https://doi.org/10.1136/bcr-2019-229354
Raman R, et al. Junctional Bradycardia Caused By Ciguatera Intoxication. BMJ Case Rep. 2019 May 30;12(5) PubMed PMID: 31151977.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Junctional bradycardia caused by ciguatera intoxication. AU - Raman,Rajendra, AU - Coppes,Sarah, AU - Hellingman,Tessa, AU - Laclé,Casper, Y1 - 2019/05/30/ PY - 2019/6/2/entrez PY - 2019/6/4/pubmed PY - 2019/12/18/medline KW - arrhythmias KW - poisoning JF - BMJ case reports JO - BMJ Case Rep VL - 12 IS - 5 N2 - Ciguatera is a common but underreported tropical disease caused by the consumption of coral reef fish contaminated by ciguatoxins. Gastrointestinal and neurological symptoms predominate, but may be accompanied by cardiovascular features such as hypotension and sinus bradycardia. Here, we report an unusual case of junctional bradycardia caused by ciguatera in the Caribbean; to our knowledge, the first such report from the region. An increase in global sea temperatures is predicted to lead to the spread of ciguatera beyond traditional endemic areas, and the globalisation of trade in coral reef fish has resulted in sporadic cases occurring in developed countries far away from endemic areas. This case serves as a reminder to consider environmental intoxications such as ciguatera within the differential diagnosis of bradycardias. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/31151977/Junctional_bradycardia_caused_by_ciguatera_intoxication_ L2 - https://casereports.bmj.com/lookup/pmidlookup?view=long&pmid=31151977 DB - PRIME DP - Unbound Medicine ER -