title: Ciguatera poisoning in the Cook Islands.
abstract: This case report presents two British medical students who contracted ciguatera poisoning while on elective in the Cook Islands. Thirty-six hours after consuming two reef fish they developed paraesthesia of the mouth, hands and feet, myalgia, pruritis and cold allodynia. Neurological examination was normal. Diagnosis of ciguatera poisoning was made on history of reef fish consumption and classical clinical presentation. Management was symptomatic (antihistamines) and both students made a full recovery within 10 weeks.
authors: University College London, London, UK.
authors: Stephanie
authors: S
authors: Bailey
authors: University College London, London, UK.
authors: Tristan
authors: T
authors: Withers
mesh_terms: D000328:Adult; D000818:Animals; D036841:Ciguatera Poisoning / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D005399:Fishes; D005506:Food Contamination; D006633:Histamine Antagonists / Q000627:therapeutic use; D006801:Humans; D008297:Male; D011114:Polynesia; D017747:Seafood / Q000009:adverse effects*; D012677:Sensation; D055815:Young Adult
chemical_list: D006633:Histamine Antagonists