title: Cardiovascular Complications in Ciguatera Fish Poisoning: A Wake-up Call.
abstract: Ciguatera fish poisoning occurs with ingestion of fish containing ciguatoxin. It causes a clinical syndrome that comprises classic gastrointestinal, neurological and cardiovascular symptoms. Ciguatoxin is a sodium channel agonist with cholinergic and adrenergic activity. Although cardiovascular symptoms are rare with ciguatoxin, we report two cases with bradycardia and hypotension. Fatality and long-term sequelae are not uncommon with ciguatoxin poisoning and educating the general population is essential.
authors.affiliation: Department of Accident, Emergency and Critical Care Medicine, Sri Gokulam Hospitals and Research Institute, Salem, Tamil Nadu, India.
authors.forename: Subramanian
authors.initials: S
authors.lastname: Senthilkumaran
authors.forename: Ramachandran
authors.initials: R
authors.lastname: Meenakshisundaram
authors.forename: Andrew D
authors.initials: AD
authors.lastname: Michaels
authors.forename: Ponnuswamy
authors.initials: P
authors.lastname: Suresh
authors.forename: Ponniah
authors.initials: P
authors.lastname: Thirumalaikolundusubramanian