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Ciguatera fish poisoning.
Am Fam Physician. 1994 Sep 01; 50(3):579-84.AF

Abstract

Ciguatera fish poisoning is the most common foodborne illness related to fin fish consumption and is endemic throughout the Caribbean and Indo-Pacific regions. The clinical picture is characterized by a variety of gastrointestinal, neurologic and, occasionally, cardiovascular symptoms. Patients with bradycardia and/or hypotension may require urgent care. Neurologic symptoms tend to be the most distinctive and enduring and include sensory changes such as generalized pruritus, circumoral numbness and reversal of hot and cold sensation. Intravenous mannitol has evolved as a unique remedy for patients with acute poisoning, but management of chronic symptoms continues to be problematic. Though difficult to implement, preventive strategies remain the best defense.

Authors+Show Affiliations

Johns Hopkins School of Medicine, Baltimore, Maryland.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

8067324

Citation

Lange, W R.. "Ciguatera Fish Poisoning." American Family Physician, vol. 50, no. 3, 1994, pp. 579-84.
Lange WR. Ciguatera fish poisoning. Am Fam Physician. 1994;50(3):579-84.
Lange, W. R. (1994). Ciguatera fish poisoning. American Family Physician, 50(3), 579-84.
Lange WR. Ciguatera Fish Poisoning. Am Fam Physician. 1994 Sep 1;50(3):579-84. PubMed PMID: 8067324.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ciguatera fish poisoning. A1 - Lange,W R, PY - 1994/9/1/pubmed PY - 1994/9/1/medline PY - 1994/9/1/entrez SP - 579 EP - 84 JF - American family physician JO - Am Fam Physician VL - 50 IS - 3 N2 - Ciguatera fish poisoning is the most common foodborne illness related to fin fish consumption and is endemic throughout the Caribbean and Indo-Pacific regions. The clinical picture is characterized by a variety of gastrointestinal, neurologic and, occasionally, cardiovascular symptoms. Patients with bradycardia and/or hypotension may require urgent care. Neurologic symptoms tend to be the most distinctive and enduring and include sensory changes such as generalized pruritus, circumoral numbness and reversal of hot and cold sensation. Intravenous mannitol has evolved as a unique remedy for patients with acute poisoning, but management of chronic symptoms continues to be problematic. Though difficult to implement, preventive strategies remain the best defense. SN - 0002-838X UR - https://www.unboundmedicine.com/medline/citation/8067324/Ciguatera_fish_poisoning_ L2 - http://www.diseaseinfosearch.org/result/1638 DB - PRIME DP - Unbound Medicine ER -