Document Detail


Clinical features of ciguatera fish poisoning: a study of the disease in the US Virgin Islands.
MedLine Citation:
PMID:  7201299     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Clinical data were obtained on 33 patients involved in 27 episodes of ciguatera fish poisoning occurring during a 14-week period on St Thomas in the US Virgin Islands. All patients had gastrointestinal tract symptoms, with 30 patients (91%) complaining of diarrhea and 23 patients (70%) complaining of vomiting; these symptoms occurred early in the disease and were of short duration. Twenty-three patients (70%) complained of malaise, and 19 patients (58%) had pain and weakness in the lower extremities. Dysesthesias were noted by 19 patients (58%); the median duration of dysesthesias was two weeks or more, with symptoms present is some cases for more than two months. Cardiovascular signs and symptoms, including both hypotension and bradycardia were noted in some acute cases. Therapy included antidiarrheal and antiemetic agents, intravenous fluids, atropine, and pralidoxime chloride. Efficacy of pralidoxime therapy could not be established on the basis of our data.
Authors:
J G Morris; P Lewin; N T Hargrett; C W Smith; P A Blake; R Schneider
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of internal medicine     Volume:  142     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1982 Jun 
Date Detail:
Created Date:  1982-08-07     Completed Date:  1982-08-07     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1090-2     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Animals
Blood Pressure
Child
Child, Preschool
Ciguatoxins*
Diarrhea / diagnosis
Dinoflagellida
Disease Outbreaks
Female
Fishes*
Foodborne Diseases / diagnosis*,  epidemiology
Heart Rate
Humans
Infant
Male
Marine Toxins*
Middle Aged
Neurologic Manifestations
Virgin Islands of the United States
Vomiting / diagnosis
Chemical
Reg. No./Substance:
0/Marine Toxins; 11050-21-8/Ciguatoxins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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