Subramanian Senthilkumaran, Ramachandran Meenakshisundaram,Ponnuswamy Suresh, Ponniah Thirumalaikolundusubramanian (Chennai Medical College Hospital and Research Center, India); Andrew D. Michaels (St. Joseph Hospitals, USA)
(Reporte de caso)
Abstract: Ciguatera fish poisoning occurs with ingestion of fish containing ciguatoxin. It causes a clinical syndrome that comprises classic gastrointestinal, neurological and cardiovascular symptoms. Ciguatoxin is a sodium channel agonist with cholinergic and adrenergic activity. Although cardiovascular symptoms are rare with ciguatoxin, we report two cases with bradicardia and hypotension. Fatality and long-term sequelae are not uncommon with ciguatoxin poisoning and educating the general population is essential.
Key words: bradycardia, ciguatoxin, fish poisoning, hypotension