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A Curious Case of Ciguatera Fish Poisoning in the Midwest and a Review for Clinicians.
J Emerg Med. 2020 Mar; 58(3):e109-e111.JE

Abstract

BACKGROUND

Ciguatera poisoning is one of the most prevalent types of fish poisoning, but it is often underreported, leading many health practitioners to be unfamiliar in correctly identifying and treating this toxicity.

CASE REPORT

We present a case of ciguatera toxicity encountered in an emergency department in a Midwest community hospital setting. A 56-year-old woman presented to the ED with symptoms of perioral numbness, generalized pruritis, and hot/cold temperature reversal. Through careful history taking it was determined that the patient had recently returned from vacationing in the Caribbean and had been consuming meals containing various types of fish. A clinical diagnosis of ciguatera toxicity was made, and the patient was treated supportively. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: This topic is important in the realm of emergency medicine because it presents a known toxicologic pathogen in an unsuspecting geographic location. This case highlights the importance of maintaining broad differentials and considering a patient's travel and exposure history to make the clinical diagnosis of ciguatoxin as well as the importance of preventative management to avoid recurrence of symptoms. We review the etiology of this fascinating toxin as well as the clinical implications in the diagnosis and management of this toxicity.

Authors+Show Affiliations

Department of Emergency Medicine, Henry Ford Macomb Hospital, Clinton Township, Michigan.Department of Emergency Medicine, Henry Ford Macomb Hospital, Clinton Township, Michigan.

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

31866166

Citation

Patel, Mithil, and Kevin Jutzy. "A Curious Case of Ciguatera Fish Poisoning in the Midwest and a Review for Clinicians." The Journal of Emergency Medicine, vol. 58, no. 3, 2020, pp. e109-e111.
Patel M, Jutzy K. A Curious Case of Ciguatera Fish Poisoning in the Midwest and a Review for Clinicians. J Emerg Med. 2020;58(3):e109-e111.
Patel, M., & Jutzy, K. (2020). A Curious Case of Ciguatera Fish Poisoning in the Midwest and a Review for Clinicians. The Journal of Emergency Medicine, 58(3), e109-e111. https://doi.org/10.1016/j.jemermed.2019.10.017
Patel M, Jutzy K. A Curious Case of Ciguatera Fish Poisoning in the Midwest and a Review for Clinicians. J Emerg Med. 2020;58(3):e109-e111. PubMed PMID: 31866166.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Curious Case of Ciguatera Fish Poisoning in the Midwest and a Review for Clinicians. AU - Patel,Mithil, AU - Jutzy,Kevin, Y1 - 2019/12/20/ PY - 2019/08/14/received PY - 2019/09/17/revised PY - 2019/10/13/accepted PY - 2019/12/24/pubmed PY - 2021/6/8/medline PY - 2019/12/24/entrez KW - Gambierdiscus KW - ciguatera KW - ciguatoxin KW - food poisoning KW - marine toxicity KW - neurotoxin KW - toxicology SP - e109 EP - e111 JF - The Journal of emergency medicine JO - J Emerg Med VL - 58 IS - 3 N2 - BACKGROUND: Ciguatera poisoning is one of the most prevalent types of fish poisoning, but it is often underreported, leading many health practitioners to be unfamiliar in correctly identifying and treating this toxicity. CASE REPORT: We present a case of ciguatera toxicity encountered in an emergency department in a Midwest community hospital setting. A 56-year-old woman presented to the ED with symptoms of perioral numbness, generalized pruritis, and hot/cold temperature reversal. Through careful history taking it was determined that the patient had recently returned from vacationing in the Caribbean and had been consuming meals containing various types of fish. A clinical diagnosis of ciguatera toxicity was made, and the patient was treated supportively. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: This topic is important in the realm of emergency medicine because it presents a known toxicologic pathogen in an unsuspecting geographic location. This case highlights the importance of maintaining broad differentials and considering a patient's travel and exposure history to make the clinical diagnosis of ciguatoxin as well as the importance of preventative management to avoid recurrence of symptoms. We review the etiology of this fascinating toxin as well as the clinical implications in the diagnosis and management of this toxicity. SN - 0736-4679 UR - https://www.unboundmedicine.com/medline/citation/31866166/A_Curious_Case_of_Ciguatera_Fish_Poisoning_in_the_Midwest_and_a_Review_for_Clinicians_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0736-4679(19)30850-9 DB - PRIME DP - Unbound Medicine ER -
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