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.
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 -
