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Ciguatera fish poisoning: treatment, prevention and management
Friedman, M.A.; Fleming, L.E; Fernandez, M.; Bienfang, P.; Schrank, K.; Dickey, R.; Bottein, M.-Y.D.; Backer, L.C.; Ayyar, R.; Weisman, R.; Watkins, S.M.; Granade, R.; Reich, A. (2008). Ciguatera fish poisoning: treatment, prevention and management. Mar. Drugs 6(3): 456-479. dx.doi.org/10.3390/md20080022
In: Marine Drugs. Molecular Diversity Preservation International (MDPI): Basel. ISSN 1660-3397, more
Peer reviewed article

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Keywords
    Fish poisoning; Toxins; Treatment; Marine

Authors  Top 
  • Friedman, M.A.
  • Fleming, L.E
  • Fernandez, M.
  • Bienfang, P.
  • Schrank, K.
  • Dickey, R.
  • Bottein, M.-Y.D.
  • Backer, L.C.
  • Ayyar, R.
  • Weisman, R.
  • Watkins, S.M.
  • Granade, R.
  • Reich, A.

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.

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