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Mar Drugs. 2008;6(3):456-79. doi: 10.3390/md20080022. Epub 2008 Aug 21.

Ciguatera fish poisoning: treatment, prevention and management.

Author information

  • 1Mount Sinai Medical Center, Miami Beach, Florida 33140, USA. melissafried@yahoo.com

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.

KEYWORDS:

ciguatera fish poisoning; ciguatoxin; harmful algal bloom (HAB); human health; marine toxins; treatment

PMID:
19005579
[PubMed - indexed for MEDLINE]
PMCID:
PMC2579736
Free PMC Article
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