title: Severe ciguatera poisoning in Madagascar: a case report.
abstract: In a single outbreak on the East coast of Madagascar, more than 500 people, 98 of whom died, were poisoned by the flesh of a shark, Carcharhinus amboinensis. From clinical symptoms it can be concluded that this poisoning is due to ciguatera toxins. It is the first case of a severe outbreak caused by a shark, and it is the first case with a mortality rate of 20%.
authors.affiliation: Department of Chemistry, School of Veterinary Medicine (University), Hannover, Germany.
authors.forename: G G
authors.initials: GG
authors.lastname: Habermehl
authors.forename: H C
authors.initials: HC
authors.lastname: Krebs
authors.forename: P
authors.initials: P
authors.lastname: Rasoanaivo
authors.forename: A
authors.initials: A
authors.lastname: Ramialiharisoa
mesh_terms: D000818:Animals; D036841:Ciguatera Poisoning; D003128:Coma / Q000139:chemically induced; D005517:Foodborne Diseases / Q000401:mortality*; D006801:Humans; D008270:Madagascar; D012754:Sharks / Q000378:metabolism*