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Ciguatera fish poisoning following travel to the tropics.
Z Gastroenterol. 1997 May; 35(5):327-30.ZG

Abstract

A 40-year-old man-as well as 15 more participants of the same meal-suddenly experienced vomiting and watery diarrhea four hours after having eaten a meal of grouper in the Dominican Republic. Symptoms persisted for four hours and were followed by a generalized pruritus and paresthesias of the lips, tongue, palms, and soles of the feet. Physical examination was normal with the exception of a pulse of 45 beats per minute, a blood pressure of 80/50 mmHg, and paradoxical temperature perception. Laboratory values were regular except for the erythrocyte sedimentation rate of 40 mm per hour. 24-hour Holter electrocardiogram showed a normal sinus rhythm with impaired heart rate variability (37-100 beats per minute). Due to the typical history and the clinical findings, ciguatera toxin ingestion was diagnosed. Pruritus decreased slightly with symptomatic therapy, but it took 16 weeks for all symptoms to resolve. Ciguatera fish poisoning is rare in temperate countries. Symptoms of this neurotoxic disease are gastrointestinal, neurologic, and cardiovascular manifestations with paresthesias, paradoxical sensor disturbances, and muscular weakness as well as bradycardia and hypotension. With travel to and from the tropics and increasing imports of tropical fish ciguatera will be of growing importance even in nontropical areas.

Authors+Show Affiliations

Department of Medicine I, Ruhr University Bochum, Marienhospital Herne, Germany.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

9188146

Citation

Sanner, B M., et al. "Ciguatera Fish Poisoning Following Travel to the Tropics." Zeitschrift Fur Gastroenterologie, vol. 35, no. 5, 1997, pp. 327-30.
Sanner BM, Rawert B, Henning B, et al. Ciguatera fish poisoning following travel to the tropics. Z Gastroenterol. 1997;35(5):327-30.
Sanner, B. M., Rawert, B., Henning, B., & Zidek, W. (1997). Ciguatera fish poisoning following travel to the tropics. Zeitschrift Fur Gastroenterologie, 35(5), 327-30.
Sanner BM, et al. Ciguatera Fish Poisoning Following Travel to the Tropics. Z Gastroenterol. 1997;35(5):327-30. PubMed PMID: 9188146.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ciguatera fish poisoning following travel to the tropics. AU - Sanner,B M, AU - Rawert,B, AU - Henning,B, AU - Zidek,W, PY - 1997/5/1/pubmed PY - 1997/5/1/medline PY - 1997/5/1/entrez SP - 327 EP - 30 JF - Zeitschrift fur Gastroenterologie JO - Z Gastroenterol VL - 35 IS - 5 N2 - A 40-year-old man-as well as 15 more participants of the same meal-suddenly experienced vomiting and watery diarrhea four hours after having eaten a meal of grouper in the Dominican Republic. Symptoms persisted for four hours and were followed by a generalized pruritus and paresthesias of the lips, tongue, palms, and soles of the feet. Physical examination was normal with the exception of a pulse of 45 beats per minute, a blood pressure of 80/50 mmHg, and paradoxical temperature perception. Laboratory values were regular except for the erythrocyte sedimentation rate of 40 mm per hour. 24-hour Holter electrocardiogram showed a normal sinus rhythm with impaired heart rate variability (37-100 beats per minute). Due to the typical history and the clinical findings, ciguatera toxin ingestion was diagnosed. Pruritus decreased slightly with symptomatic therapy, but it took 16 weeks for all symptoms to resolve. Ciguatera fish poisoning is rare in temperate countries. Symptoms of this neurotoxic disease are gastrointestinal, neurologic, and cardiovascular manifestations with paresthesias, paradoxical sensor disturbances, and muscular weakness as well as bradycardia and hypotension. With travel to and from the tropics and increasing imports of tropical fish ciguatera will be of growing importance even in nontropical areas. SN - 0044-2771 UR - https://www.unboundmedicine.com/medline/citation/9188146/Ciguatera_fish_poisoning_following_travel_to_the_tropics_ L2 - http://www.diseaseinfosearch.org/result/1638 DB - PRIME DP - Unbound Medicine ER -