Abstract

COSTA, Ana Isabel et al. Ciguatera Fish Poisoning. Medicina Interna [online]. 2017, vol.24, n.1, pp.30-32. ISSN 0872-671X.

Ciguatera fish poisoning is a foodborne illness caused by the ingestion of coral reef fish contaminated with toxins that arise from Gambierdiscus toxicus that grows on coral reefs in Indian and Pacific Ocean regions and in the Caribbean sea. The first case in Europe was reported in Canary Islands in 2004. In Madeira Island the first case was reported in 2008. The global warming may increase the frequency of ciguatera fish poisoning. The patient affected with ciguatera fish poisoning may develop gastrointestinal, neurologic and cardiovascular findings. Treatment is primarily supportive. Authors present a case of 12 fishermen presenting nausea, vomiting, diarrhea and abdominal pain that onset 3 hours after consuming pigfish of the Desert Islands. Nine patients presented hypotension, all patients had bradycardia and four of them needed atropine. Ciguatera fish poisoning is a clinical presumptive diagnosis.

Keywords : Ciguatera Poisoning; Ciguatoxins; Fishes.

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