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Ciguatera Poisoning

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1. Tectus niloticus (Tegulidae, Gastropod) as a Novel Vector of Ciguatera Poisoning: Clinical Characterization and Follow-Up of a Mass Poisoning Event in Nuku Hiva Island (French Polynesia) Full Text available with Trip Pro

Tectus niloticus (Tegulidae, Gastropod) as a Novel Vector of Ciguatera Poisoning: Clinical Characterization and Follow-Up of a Mass Poisoning Event in Nuku Hiva Island (French Polynesia) Ciguatera fish poisoning (CFP) is the most prevalent non-bacterial food-borne form of poisoning in French Polynesia, which results from the consumption of coral reef fish naturally contaminated with ciguatoxins produced by dinoflagellates in the genus Gambierdiscus. Since the early 2000s, this French territory (...) has also witnessed the emergence of atypical forms of ciguatera, known as ciguatera shellfish poisoning (CSP), associated with the consumption of marine invertebrates. In June 2014, nine tourists simultaneously developed a major and persistent poisoning syndrome following the consumption of the gastropod Tectus niloticus collected in Anaho, a secluded bay of Nuku Hiva Island (Marquesas Archipelago, French Polynesia). The unusual nature and severity of this event prompted a multidisciplinary

2018 Toxins

2. Identification of Causative Ciguatoxins in Red Snappers Lutjanus bohar Implicated in Ciguatera Fish Poisonings in Vietnam Full Text available with Trip Pro

Identification of Causative Ciguatoxins in Red Snappers Lutjanus bohar Implicated in Ciguatera Fish Poisonings in Vietnam Ciguatera fish poisoning (CFP) is a type of food poisoning caused by the consumption of a variety of toxic ciguatera fish species in the tropical and subtropical waters. Although there have been a large number of suspected CFP cases in the Southeast Asian countries, few were confirmed with causative ciguatoxins (CTXs), and reliable information on the symptoms still remains (...) with the exact mass spectrum. The CTX profile of the red snapper in Vietnam is similar to those of ciguatera fish from Australia, Okinawa Islands in Japan, Kiribati, and Hong Kong. This is the first comprehensive report unambiguously identifying the causative toxins in fish implicated with reliable information on the poisoning symptoms in CFP in Vietnam and/or Southeast Asian countries.

2018 Toxins

3. Incidence and clinical characteristics of ciguatera fish poisoning in Guadeloupe (French West Indies) between 2013 and 2016: a retrospective cases-series Full Text available with Trip Pro

Incidence and clinical characteristics of ciguatera fish poisoning in Guadeloupe (French West Indies) between 2013 and 2016: a retrospective cases-series This retrospective case study analysed the incidence and symptoms of ciguatera fish poisoning (ciguatera) in Guadeloupe (French West Indies) between 2013 and 2016. Cases attending the emergency departments of the two public hospitals and the reports received by the regional health authority in charge of monitoring (ARS) were compiled. Two (...) of lionfish ciguatera was observed. 93.9% of patients experienced gastrointestinal symptoms, 76.0% presented neurological signs (mainly paresthesia, dysesthesia and pruritus) and 40.3% presented cardiovascular symptoms (bradycardia and/or hypotension). A high frequency (61.4%) of hypothermia (body temperature <36.5 °C) was observed. This study reports for the first time the relatively high frequency of cardiac symptoms and low body temperature. The monitoring of ciguatera poisoning throughout

2018 Scientific reports

4. The Epiphytic Genus Gambierdiscus (Dinophyceae) in the Kermadec Islands and Zealandia Regions of the Southwestern Pacific and the Associated Risk of Ciguatera Fish Poisoning Full Text available with Trip Pro

The Epiphytic Genus Gambierdiscus (Dinophyceae) in the Kermadec Islands and Zealandia Regions of the Southwestern Pacific and the Associated Risk of Ciguatera Fish Poisoning Species in the genus Gambierdiscus produce ciguatoxins (CTXs) and/or maitotoxins (MTXs), which may cause ciguatera fish poisoning (CFP) in humans if contaminated fish are consumed. Species of Gambierdiscus have previously been isolated from macroalgae at Rangitahua (Raoul Island and North Meyer Islands, northern Kermadec

2017 Marine drugs

5. Ciguatera fish poisoning after Caribbean travel Full Text available with Trip Pro

Ciguatera fish poisoning after Caribbean travel 27160878 2017 10 13 2018 11 13 1488-2329 189 1 2017 01 09 CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne CMAJ Ciguatera fish poisoning after Caribbean travel. E19-E21 10.1503/cmaj.151207 Thompson Courtney A CA London School of Hygiene & Tropical Medicine (Thompson), London, UK; Faculty of Medicine (Jazuli), University of Toronto; Department of Medicine (Taggart, Boggild), University of Toronto; Division (...) Hospital, Toronto, Ont.; Tropical Disease Unit, Division of Infectious Diseases, Department of Medicine (Boggild), Toronto General Hospital, University Health Network; Public Health Ontario Laboratories (Boggild), Toronto, Ont. andrea.boggild@utoronto.ca. eng Case Reports Journal Article 2016 05 09 Canada CMAJ 9711805 0820-3946 AIM IM Adult Aged Caribbean Region Ciguatera Poisoning diagnosis etiology therapy Female Humans Male Travel 2016 5 11 6 0 2017 10 14 6 0 2016 5 11 6 0 ppublish 27160878 cmaj

2017 CMAJ : Canadian Medical Association Journal

6. Rheumatoid arthritis following ciguatera poisoning: A case report Full Text available with Trip Pro

Rheumatoid arthritis following ciguatera poisoning: A case report Objective: To report the first case of ciguatera-associated rheumatoid arthritis in Japan. Patient: A 53-year-old man presented to our clinic with morning stiffness and pain in the fingers and wrists. Results: For six months, he had suffered from chronic pain in both hands and shoulders caused by ciguatera poisoning. He was referred to a local general hospital and diagnosed with RA. Conclusion: When synovitis becomes evident (...) in chronic ciguatera poisoning, reevaluation is necessary, including investigation of chronic arthritis, which might be associated with the onset of RA.

2017 Journal of Rural Medicine : JRM

7. An Updated Review of Ciguatera Fish Poisoning: Clinical, Epidemiological, Environmental, and Public Health Management Full Text available with Trip Pro

An Updated Review of Ciguatera Fish Poisoning: Clinical, Epidemiological, Environmental, and Public Health Management Ciguatera Fish Poisoning (CFP) is the most frequently reported seafood-toxin illness in the world. It causes substantial human health, social, and economic impacts. The illness produces a complex array of gastrointestinal, neurological and neuropsychological, and cardiovascular symptoms, which may last days, weeks, or months. This paper is a general review of CFP including

2017 Marine drugs

8. Tectus niloticus (Tegulidae, Gastropod) as a Novel Vector of Ciguatera Poisoning: Detection of Pacific Ciguatoxins in Toxic Samples from Nuku Hiva Island (French Polynesia) Full Text available with Trip Pro

Tectus niloticus (Tegulidae, Gastropod) as a Novel Vector of Ciguatera Poisoning: Detection of Pacific Ciguatoxins in Toxic Samples from Nuku Hiva Island (French Polynesia) Ciguatera fish poisoning (CFP) is a foodborne disease caused by the consumption of seafood (fish and marine invertebrates) contaminated with ciguatoxins (CTXs) produced by dinoflagellates in the genus Gambierdiscus. The report of a CFP-like mass-poisoning outbreak following the consumption of Tectus niloticus (Tegulidae (...) , Gastropod) from Anaho Bay on Nuku Hiva Island (Marquesas archipelago, French Polynesia) prompted field investigations to assess the presence of CTXs in T. niloticus. Samples were collected from Anaho Bay, 1, 6 and 28 months after this poisoning outbreak, as well as in Taiohae and Taipivai bays. Toxicity analysis using the neuroblastoma cell-based assay (CBA-N2a) detected the presence of CTXs only in Anaho Bay T. niloticus samples. This is consistent with qPCR results on window screen samples indicating

2017 Toxins

9. Ciguatera Poisoning

Ciguatera Poisoning Ciguatera Poisoning Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Ciguatera Poisoning Ciguatera Poisoning Aka (...) : Ciguatera Poisoning , Ciguatera Toxin , Ciguatoxin From Related Chapters II. Epidemiology Reaction occurs in up to 90% of Ciguatoxin ingestions Most common outbreaks Florida Hawaii West Indies Puerto Rico U.S. Virgin Islands III. Pathophysiology Gambierdiscus toxicus bioaccumulates in carnivorous reef fish Reef fish ingestion results in reaction Amberjack Grouper Snapper Sturgeon King Mackerel Barracuda Moray eel Toxin Tasteless, heat stable toxin IV. Symptoms: Anticholinergic Reaction Gastrointestinal

2018 FP Notebook

10. Management of Poisoning

Management of Poisoning Management of Poisoning MOH Clinical Practice Guidelines Dec/2011 Ministry of Health, Singapore College of Medicine Building 16 College Road Singapore 169854 TEL (65) 6325 9220 FAX (65) 6224 1677 WEB www.moh.gov.sg ISBN 978-981-08-9904-2 College of Family Physicians Singapore Singapore Medical Association Pharmaceutical Society of Singapore Society for Emergency Medicine in Singapore Toxicology Society (Singapore) Singapore Paediatric Society Chapter of Emergency (...) and grades of recommendationCLINICAL PRACTICE GUIDELINES Management of Poisoning MOH Clinical Practice Guidelines December/2011Published by Ministry of Health, Singapore 16 College Road, College of Medicine Building Singapore 169854 Printed by Golden City Colour Printing Co. (Pte.) Ltd. Copyright © 2011 by Ministry of Health, Singapore ISBN 978-981-08-9904-2 Available on the MOH website: http://www.moh.gov.sg/cpg Statement of Intent These guidelines are not intended to serve as a standard of medical care

2020 Ministry of Health, Singapore

11. Rapid Review: Ciguatera Poisoning

Rapid Review: Ciguatera Poisoning Rapid Review: Ciguatera Poisoning - First10EM Search Rapid Review: Ciguatera Poisoning by | Published - Updated In , I briefly review the key points of a clinical review paper. The topic this time: Ciguatera poisoning The paper: Thompson CA, Jazuli F, Taggart LR, Boggild AK. Ciguatera fish poisoning after Caribbean travel. CMAJ Canadian Medical Association journal. 2016. PMID: What is it? Ciguatera poisoning is a foodborne illness caused by eating large reef (...) in the Southern Pacific and Indian Ocean. How common is it? It is relatively rare, with only 51 cases reported over a 5 year period. However, given the range of symptoms and lack of structured reporting system, it is likely significantly under reported. It is more common than other fish poisonings, such as scombroid. What are the symptoms? The pathognomonic symptom of ciguatera is temperature reversal: cold objects feels hot or vice versa. However, this only occurs in 50% of reported cases. Gastrointestinal

2017 First10EM

12. Gene Expression Patterns in Peripheral Blood Leukocytes in Patients with Recurrent Ciguatera Fish Poisoning: Preliminary Studies Full Text available with Trip Pro

Gene Expression Patterns in Peripheral Blood Leukocytes in Patients with Recurrent Ciguatera Fish Poisoning: Preliminary Studies Ciguatera fish poisoning (ciguatera) is a common clinical syndrome in areas where there is dependence on tropical reef fish for food. A subset of patients develops recurrent and, in some instances, chronic symptoms, which may result in substantial disability. To identify possible biomarkers for recurrent/chronic disease, and to explore correlations with immune gene (...) expression, peripheral blood leukocyte gene expression in 10 ciguatera patients (7 recurrent, 3 acute) from the U.S. Virgin Islands, and 5 unexposed Florida controls were evaluated. Significant differences in gene expression were noted when comparing ciguatera patients and controls; however, it was not possible to differentiate between patients with acute and recurrent disease, possibly due to the small sample sizes involved.

2016 Harmful algae

13. Characteristic Features and Contributory Factors in Fatal Ciguatera Fish Poisoning-Implications for Prevention and Public Education. Full Text available with Trip Pro

Characteristic Features and Contributory Factors in Fatal Ciguatera Fish Poisoning-Implications for Prevention and Public Education. In this review, the main objective was to describe the characteristic features of fatal ciguatera fish poisoning and identify contributory factors, with a view to promote prevention and public education. Ciguatera-related deaths, although rare, have been reported from the Pacific, Caribbean, and Indian Ocean regions. The clinical features were generally dominated (...) by convulsions and coma, with various focal neurological signs. Several contributory factors could be identified, including consumption of ciguatoxin (CTX)-rich fish parts (viscera and head) in larger amounts, the most ciguatoxic fish species (e.g.,Gymnothorax flavimarginatus) and reef fish collected after storms and individuals' susceptibility. Mass ciguatera fish poisoning with mortalities also occurred when G. flavimarginatus and other ciguatoxic fish species were shared in gatherings and parties

2016 American Journal of Tropical Medicine & Hygiene

14. Mannitol Versus Supportive Care in Ciguatera Fish Poisoning

Mannitol Versus Supportive Care in Ciguatera Fish Poisoning Mannitol Versus Supportive Care in Ciguatera Fish Poisoning - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Mannitol Versus Supportive Care (...) in Ciguatera Fish Poisoning The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02570971 Recruitment Status : Unknown Verified October 2015 by University of South Florida. Recruitment status was: Not yet recruiting First Posted : October 7, 2015 Last Update Posted : October 7, 2015 Sponsor: University of South

2015 Clinical Trials

15. Ciguatera Fish Poisoning in East Asia and Southeast Asia Full Text available with Trip Pro

Ciguatera Fish Poisoning in East Asia and Southeast Asia In the coastal countries of East Asia and Southeast Asia, ciguatera should be common because of the extensive tropical and subtropical coral reefs along the coasts and in the neighboring seas with ciguatoxic fishes. An extensive search of journal databases, the Internet and the government websites was performed to identify all reports of ciguatera from the regions. Based on the official data and large published case series, the incidence (...) of ciguatera was higher in the coastal cities (Hong Kong, Foshan, Zhongshan) of southern China than in Japan (Okinawa Prefecture). In Singapore, ciguatera appeared to be almost unknown. In other countries, only isolated cases or small case series were reported, but under-reporting was assumed to be common. Ciguatera may cause severe acute illness and prolonged neurological symptoms. Ciguatera represents an important public health issue for endemic regions, with significant socio-economic impact

2015 Marine drugs

16. Ciguatera Fish Poisoning in Hawai‘i and the Pacific Full Text available with Trip Pro

Ciguatera Fish Poisoning in Hawai‘i and the Pacific Ciguatera fish poisoning (CFP) is a foodborne illness caused by fish containing ciguatoxin (CTX). The toxin is produced by the microalgae Gambierdiscus spp. which are then eaten by reef fish; humans contract the illness when eating either fish that have eaten the algae, or carnivorous fish that have eaten those fish. CTX is an odorless, tasteless, and colorless neurotoxin that blocks voltage-sensitive Na(+) channels and accumulates in many

2014 Hawai'i Journal of Medicine & Public Health

17. Two clusters of ciguatera fish poisoning in paris, france, related to tropical fish imported from the French Caribbean by travelers. Full Text available with Trip Pro

Two clusters of ciguatera fish poisoning in paris, france, related to tropical fish imported from the French Caribbean by travelers. Ciguatera fish poisoning (CFP) is a food-borne illness due to the consumption of reef fish containing pathogenic toxins. CFP is endemic to tropical areas and may be described in travelers in non-endemic areas.We describe two clusters of autochthonous cases of CFP in Paris, France. They were related to two fish caught in Guadeloupe (French West Indies) and consumed

2014 Journal of Travel Medicine

18. Regional Variations in the Risk and Severity of Ciguatera Caused by Eating Moray Eels Full Text available with Trip Pro

Regional Variations in the Risk and Severity of Ciguatera Caused by Eating Moray Eels Moray eels (Gymnothorax species) from tropical waters have long been known to be high-risk species, and the consumption of particularly the viscera or ungutted eels can result in severe ciguatera (known as Gymnothorax or moray eel poisoning), characterized by prominent neurological features. In this review, the main objective was to describe the risk and severity of ciguatera caused by eating moray eels (...) in different parts of the world. Moray eels can accumulate very high ciguatoxin (CTX) levels in the flesh and particularly the liver. Therefore, even the smaller ones can be toxic and the consumption of an average portion (particularly liver) can result in severe or fatal ciguatera. Moray eels (particularly when ungutted) must never be served in gatherings since they can cause mass poisoning because of their large sizes and high CTX levels. Apart from regulatory measures restricting or excluding access

2017 Toxins

19. Ciguatera Poisoning

Ciguatera Poisoning Ciguatera Poisoning Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Ciguatera Poisoning Ciguatera Poisoning Aka (...) : Ciguatera Poisoning , Ciguatera Toxin , Ciguatoxin From Related Chapters II. Epidemiology Reaction occurs in up to 90% of Ciguatoxin ingestions Most common outbreaks Florida Hawaii West Indies Puerto Rico U.S. Virgin Islands III. Pathophysiology Gambierdiscus toxicus bioaccumulates in carnivorous reef fish Reef fish ingestion results in reaction Amberjack Grouper Snapper Sturgeon King Mackerel Barracuda Moray eel Toxin Tasteless, heat stable toxin IV. Symptoms: Anticholinergic Reaction Gastrointestinal

2015 FP Notebook

20. Outbreak of ciguatera fish poisoning on a cargo ship in the port of hamburg. Full Text available with Trip Pro

Outbreak of ciguatera fish poisoning on a cargo ship in the port of hamburg. Ciguatera fish poisoning is a travel-related illness characterized by a combination of gastrointestinal and neurological symptoms in persons who eat ciguatoxic seafood in endemic areas.In 2009, an outbreak of the disease on a refrigerator vessel in the port of Hamburg was investigated. The ship's crew fell ill after they ate fish from a catch in the Caribbean 2 weeks earlier. All 15 sailors on board were examined (...) to severity of symptoms. The diagnosis was supported by the fact that all seafarers who consumed the same reef fish, experienced typical signs, symptoms, and time course consistent with ciguatera fish poisoning. The fish from the catch in the Caribbean was identified as Caranx sexfasciatus (Bigeye Trevally) and Cephalopholis miniata (Red Grouper). An experimental assay later confirmed presence of the ciguatoxin in the fish.Sailors are an occupational group at risk for ciguatera fish poisoning due

2012 Journal of Travel Medicine

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