title: Clinical experience with i.v. Mannitol in the treatment of ciguatera.
abstract: To assess the effectiveness of i.v. Mannitol treatment for Ciguatera Poisoning, 35 patients were treated from the Miami-Caribbean area with symptoms of acute and chronic Ciguatera Poisoning. Information was collected on demographics, fish type and location, timing and type of symptoms, and response to treatment. Iv Mannitol (1 g/kg infused 3-4 hours) given within 48 hours dramatically decreased the acute morbidity of Ciguatera Poisoning without serious side effects. Treatment also appears to be safe and effective in chronic cases up to eight weeks from ingestion of toxic fish.
authors.affiliation: Dept of Internal Medicine, University of Miami.
authors.forename: D G
authors.initials: DG
authors.lastname: Blythe
authors.forename: D P
authors.initials: DP
authors.lastname: De Sylva
authors.forename: L E
authors.initials: LE
authors.lastname: Fleming
authors.forename: R A
authors.initials: RA
authors.lastname: Ayyar
authors.forename: D G
authors.initials: DG
authors.lastname: Baden
authors.forename: K
authors.initials: K
authors.lastname: Shrank
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000818:Animals; D017691:Caribbean Region; D002648:Child; D002675:Child, Preschool; D036841:Ciguatera Poisoning; D005260:Female; D005399:Fishes; D005431:Florida; D005767:Gastrointestinal Diseases / Q000139:chemically induced; D006801:Humans; D008297:Male; D008353:Mannitol / Q000627:therapeutic use*; D008875:Middle Aged; D009422:Nervous System Diseases / Q000139:chemically induced
chemical_list: D008353:Mannitol