Ciguatera fish poisoning: treatment, prevention and management.
Ciguatera Fish Poisoning (CFP) is the most frequently reported seafood-toxin illness in the world, and it causes substantial physical and functional impact. It produces a myriad of gastrointestinal, neurologic and/or cardiovascular symptoms which last days to weeks, or even months. Although there are reports of symptom amelioration with some interventions (e.g. IV mannitol), the appropriate treatment for CFP remains unclear to many physicians. We review the literature on the treatments for CFP, including randomized controlled studies and anecdotal reports. The article is intended to clarify treatment options, and provide information about management and prevention of CFP, for emergency room physicians, poison control information providers, other health care providers, and patients.
Friedman
Melissa A
MA
Mount Sinai Medical Center, Miami Beach, Florida 33140, USA. melissafried@yahoo.com
Fleming
Lora E
LE
Fernandez
Mercedes
M
Bienfang
Paul
P
Schrank
Kathleen
K
Dickey
Robert
R
Bottein
Marie-Yasmine
MY
Backer
Lorraine
L
Ayyar
Ram
R
Weisman
Richard
R
Watkins
Sharon
S
Granade
Ray
R
Reich
Andrew
A
D036841:Ciguatera Poisoning / Q000175:diagnosis / Q000517:prevention & control* / Q000628:therapy*; D002922:Ciguatoxins; D006801:Humans
D002922:Ciguatoxins