Ciguatera fish poisoning: impact for the military health care provider

Ciguatera toxin is a marine neurotoxin produced by microorganisms that becomes concentrated in predatory fish. Toxicity in humans results from the ingestion of contaminated fish harvested in tropical waters. Clinical manifestations of illness include the rapid onset of gastrointestinal symptoms and...

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Veröffentlicht in:Military medicine 2007-09, Vol.172 (9), p.1012-1015
Hauptverfasser: Arnett, Michael V, Lim, Julia T
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Lim, Julia T
description Ciguatera toxin is a marine neurotoxin produced by microorganisms that becomes concentrated in predatory fish. Toxicity in humans results from the ingestion of contaminated fish harvested in tropical waters. Clinical manifestations of illness include the rapid onset of gastrointestinal symptoms and neurological abnormalities. Because of the rapid onset of symptoms and the potential for case clusters from a common source ingestion of contaminated fish, there is the potential that ciguatera poisoning may initially mimic illnesses caused by antipersonnel biological and chemical agents. We present data on an active duty soldier who presented to sick call for evaluation of new onset paresthesias and was diagnosed with ciguatera toxin poisoning. We also present a review of ciguatera poisoning literature with emphasis on the distinguishing features between ciguatoxin and other neurotoxins of military significance.
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subjects Adult
Ciguatera Poisoning - blood
Ciguatera Poisoning - diagnosis
Ciguatera Poisoning - therapy
Ciguatoxins - blood
Delivery of Health Care - methods
Diagnosis, Differential
Follow-Up Studies
Humans
Immunoassay
Male
Military Medicine - methods
Military Personnel
title Ciguatera fish poisoning: impact for the military health care provider
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