Treatment of a mild chronic case of ciguatera fish poisoning with intravenous mannitol, a case study.
This article describes a recent case of ciguatera poisoning treated with intravenous mannitol. Mannitol has been used with good effect in non-controlled studies in acutely severely poisoned patients, but is not described in the treatment of chronic or milder poisoning. Our patient was a 35-year-old Niuean man who had eaten a ciguatoxic fish two weeks previously. His symptoms were not severe but were very unpleasant and restricted his ability to work. He was given a single dose of mannitol (0.66g/kg) as an intravenous infusion over two hours. His symptoms dramatically improved within 24 hours, and within a few days he felt virtually back to his former self. He experienced no side effects to the mannitol. It is suggested that intravenous mannitol may prove to be a useful treatment for mild to moderate ciguatera poisoning, and for patients who present late for treatment.
Mitchell
Gary
G
Lord Liverpool Hospital, PO. Box 33, Niue Island. garyclare@xtra.co.nz
D000328:Adult; D036841:Ciguatera Poisoning / Q000188:drug therapy* / Q000503:physiopathology; D004234:Diuretics, Osmotic / Q000008:administration & dosage* / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008353:Mannitol / Q000008:administration & dosage* / Q000627:therapeutic use; D017063:Outcome Assessment, Health Care
D004234:Diuretics, Osmotic; D008353:Mannitol