title: Ciguatera fish poisoning: treatment, prevention and management.
abstract: 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.
authors.affiliation: Mount Sinai Medical Center, Miami Beach, Florida 33140, USA. melissafried@yahoo.com
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Friedman
authors.forename: Lora E
authors.initials: LE
authors.lastname: Fleming
authors.forename: Mercedes
authors.initials: M
authors.lastname: Fernandez
authors.forename: Paul
authors.initials: P
authors.lastname: Bienfang
authors.forename: Kathleen
authors.initials: K
authors.lastname: Schrank
authors.forename: Robert
authors.initials: R
authors.lastname: Dickey
authors.forename: Marie-Yasmine
authors.initials: MY
authors.lastname: Bottein
authors.forename: Lorraine
authors.initials: L
authors.lastname: Backer
authors.forename: Ram
authors.initials: R
authors.lastname: Ayyar
authors.forename: Richard
authors.initials: R
authors.lastname: Weisman
authors.forename: Sharon
authors.initials: S
authors.lastname: Watkins
authors.forename: Ray
authors.initials: R
authors.lastname: Granade
authors.forename: Andrew
authors.initials: A
authors.lastname: Reich
mesh_terms: D036841:Ciguatera Poisoning / Q000175:diagnosis / Q000517:prevention & control* / Q000628:therapy*; D002922:Ciguatoxins; D006801:Humans
chemical_list: D002922:Ciguatoxins