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[Mass ciguatera poisoning after eating barracuda in Mexico: prognostic and therapeutic implications].
Med Trop (Mars). 1997; 57(1):55-8.MT

Abstract

Thirty patients were admitted to the Anti-Poison Center of Marseille, France, on the fifth day of ciguatera fish poisoning due to ingestion of the same barracuda in Mexico. The purpose of this prospective study conducted during management of this group was to identify prognostic factors and evaluate the efficacy of treatment using mannitol. Upon admission severity was individually scored based on clinical findings. Twenty-two patients exhibiting the highest severity scores were immediately treated by infusion of 250 ml of 20% mannitol within one hour. These patients presented low plasma cholinesterase levels. Treatment led to transient improvement mainly with regard to cramping and digestive manifestations. All patients who presented high severity scores upon admission reported persistent manifestations lasting between 1 and 7 months. In 6 of these patients symptoms recurred after ingestion of seafood and/or alcohol. The fact that the extent of clinical symptoms in terms of severity and duration was correlated with the amount of fish ingested confirms that ciguatera poisoning is dose-dependent in man. However cholinesterase levels were not correlated with the severity of clinical manifestations.

Authors+Show Affiliations

Centre Anti-poisons, Hôpital Salvator, Marseille, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

9289611

Citation

De Haro, L, et al. "[Mass Ciguatera Poisoning After Eating Barracuda in Mexico: Prognostic and Therapeutic Implications]." Medecine Tropicale : Revue Du Corps De Sante Colonial, vol. 57, no. 1, 1997, pp. 55-8.
De Haro L, Hayek-Lanthois M, Joossen F, et al. [Mass ciguatera poisoning after eating barracuda in Mexico: prognostic and therapeutic implications]. Med Trop (Mars). 1997;57(1):55-8.
De Haro, L., Hayek-Lanthois, M., Joossen, F., Affaton, M. F., & Jouglard, J. (1997). [Mass ciguatera poisoning after eating barracuda in Mexico: prognostic and therapeutic implications]. Medecine Tropicale : Revue Du Corps De Sante Colonial, 57(1), 55-8.
De Haro L, et al. [Mass Ciguatera Poisoning After Eating Barracuda in Mexico: Prognostic and Therapeutic Implications]. Med Trop (Mars). 1997;57(1):55-8. PubMed PMID: 9289611.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Mass ciguatera poisoning after eating barracuda in Mexico: prognostic and therapeutic implications]. AU - De Haro,L, AU - Hayek-Lanthois,M, AU - Joossen,F, AU - Affaton,M F, AU - Jouglard,J, PY - 1997/1/1/pubmed PY - 1997/1/1/medline PY - 1997/1/1/entrez SP - 55 EP - 8 JF - Medecine tropicale : revue du Corps de sante colonial JO - Med Trop (Mars) VL - 57 IS - 1 N2 - Thirty patients were admitted to the Anti-Poison Center of Marseille, France, on the fifth day of ciguatera fish poisoning due to ingestion of the same barracuda in Mexico. The purpose of this prospective study conducted during management of this group was to identify prognostic factors and evaluate the efficacy of treatment using mannitol. Upon admission severity was individually scored based on clinical findings. Twenty-two patients exhibiting the highest severity scores were immediately treated by infusion of 250 ml of 20% mannitol within one hour. These patients presented low plasma cholinesterase levels. Treatment led to transient improvement mainly with regard to cramping and digestive manifestations. All patients who presented high severity scores upon admission reported persistent manifestations lasting between 1 and 7 months. In 6 of these patients symptoms recurred after ingestion of seafood and/or alcohol. The fact that the extent of clinical symptoms in terms of severity and duration was correlated with the amount of fish ingested confirms that ciguatera poisoning is dose-dependent in man. However cholinesterase levels were not correlated with the severity of clinical manifestations. SN - 0025-682X UR - https://www.unboundmedicine.com/medline/citation/9289611/[Mass_ciguatera_poisoning_after_eating_barracuda_in_Mexico:_prognostic_and_therapeutic_implications]_ L2 - https://medlineplus.gov/foodborneillness.html DB - PRIME DP - Unbound Medicine ER -