title: Coma due to ciguatera poisoning in Rhode Island.
abstract: A patient is presented who developed an acute gastrointestinal and neurologic syndrome progressing to coma after ingestion of a fish soup made in Rhode Island. Laboratory studies confirmed the clinical diagnosis of ciguatera poisoning. Physicians should be aware of the diagnostic features of this disease even in non-endemic areas.
authors.affiliation: Department of Medicine, Roger Williams Medical Center, Brown University Medical School, Providence, Rhode Island 02908.
authors.forename: D J
authors.initials: DJ
authors.lastname: DeFusco
authors.forename: P
authors.initials: P
authors.lastname: O'Dowd
authors.forename: Y
authors.initials: Y
authors.lastname: Hokama
authors.forename: B R
authors.initials: BR
authors.lastname: Ott
mesh_terms: D000818:Animals; D036841:Ciguatera Poisoning; D002922:Ciguatoxins / Q000032:analysis; D003128:Coma / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D005399:Fishes; D006168:Guinea Pigs; D006801:Humans; D008297:Male; D051379:Mice; D008875:Middle Aged; D012237:Rhode Island
chemical_list: D002922:Ciguatoxins