title: [Ciguatera fish poisoning].
abstract: Ciguatera, an ichtyosarcotoxism linked to the consumption of usually healthy coral fish is a common poisoning in the Pacific, Caribbean and Indian Ocean where it is endemic. However, increased tourism and commercial transportation of tropical fish for consumption make it an unexceptional intoxication in countries away from its endemic area. Environmental stresses such as climate changes also contribute to the expansion of its geographical area. The non-specific clinical symptomatology is characterized by the occurrence of gastrointestinal, cardiovascular, nervous and general signs few hours after eating a ciguatoxic fish. The diagnosis is clinical and relatively easy in endemic areas but much less for physicians who are rarely confronted with, which is a source of prolonged diagnostic delays and a significant increase in spending. Treatment of ciguatera is symptomatic but new treatments, still experimental, give a real hope for the future.
authors.affiliation: Centre hospitalier de Polynésie française, service de médecine interne et polyvalente, avenue du Général-de-Gaulle, 98716 Pirae, Tahiti, Polynésie française. Electronic address: erwan.oehler@cht.pf.
authors.forename: Erwan
authors.initials: E
authors.lastname: Oehler
authors.affiliation: Centre hospitalier de Polynésie française, service de médecine interne et polyvalente, avenue du Général-de-Gaulle, 98716 Pirae, Tahiti, Polynésie française.
authors.forename: Jérémie
authors.initials: J
authors.lastname: Bouchut
mesh_terms: D015746:Abdominal Pain / Q000209:etiology / Q000628:therapy; D000818:Animals; D001919:Bradycardia / Q000209:etiology / Q000628:therapy; D036841:Ciguatera Poisoning / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D003680:Deglutition Disorders / Q000209:etiology / Q000628:therapy; D003681:Dehydration / Q000209:etiology / Q000628:therapy; D003937:Diagnosis, Differential; D003967:Diarrhea / Q000209:etiology / Q000628:therapy; D019353:Endemic Diseases; D005759:Gastroenteritis / Q000209:etiology; D006801:Humans; D006973:Hypertension / Q000209:etiology / Q000628:therapy; D008353:Mannitol / Q000627:therapeutic use; D009325:Nausea / Q000209:etiology / Q000628:therapy; D009422:Nervous System Diseases / Q000209:etiology / Q000628:therapy; D011537:Pruritus / Q000209:etiology / Q000628:therapy; D012769:Shock / Q000209:etiology / Q000628:therapy; D014839:Vomiting / Q000209:etiology / Q000628:therapy
chemical_list: D008353:Mannitol