Ciguatera Fish Poisoning: Treatment, Prevention and Management
2008

Ciguatera Fish Poisoning: Treatment, Prevention and Management

publication Evidence: moderate

Author Information

Author(s): Melissa A. Friedman, Lora E. Fleming, Mercedes Fernandez, Paul Bienfang, Kathleen Schrank, Robert Dickey, Marie-Yasmine Bottein, Lorraine Backer, Ram Ayyar, Richard Weisman, Sharon Watkins, Ray Granade, Andrew Reich

Primary Institution: Mount Sinai Medical Center, Miami Beach, Florida, USA

Hypothesis

The appropriate treatment for Ciguatera Fish Poisoning (CFP) remains unclear to many physicians.

Conclusion

This review clarifies treatment options and provides information about the management and prevention of CFP.

Supporting Evidence

  • Ciguatera fish poisoning is the most frequently reported seafood-toxin illness in the world.
  • Symptoms of CFP can last from days to months and include gastrointestinal, neurologic, and cardiovascular issues.
  • IV mannitol is the most studied therapy for CFP and has shown significant improvement in symptoms.

Takeaway

Ciguatera fish poisoning is a sickness caused by eating certain reef fish that have toxins. This article talks about how to treat and prevent this illness.

Methodology

The article reviews literature on treatments for CFP, including randomized controlled studies and anecdotal reports.

Potential Biases

Potential biases include under-reporting of cases and misdiagnosis by health professionals.

Limitations

The study highlights the challenges in conducting well-designed trials due to the infrequency of CFP occurrences and the difficulty in confirming diagnoses.

Participant Demographics

The article discusses CFP cases primarily in tropical and subtropical regions, particularly in the USA.

Digital Object Identifier (DOI)

10.3390/md20080022

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication