Melissa A. Friedman (Mount Sinai Medical Center, USA; Rosenstiel School of Marine and Atmospheric Sciences, USA); Lora E. Fleming (Rosenstiel School of Marine and Atmospheric Sciences, USA); Mercedes Fernández (Carlos Albizu University, USA); Paul Bienfang (University of Hawaii, USA); Kathleen Schrank (Jackson Memorial Medical Center, USA); Robert Dickey, Ray Granade (Center for Food Safety and Nutrition, Dauphin Island, USA); Marie-Yasmine Bottein (NOAA-National Ocean Service, USA); Lorraine Backer (Centers for Disease Control and Prevention, Atlanta, USA); Ram Ayyar (University of Miami Department of Neurology, USA); Richard Weisman (Florida Poison Information Center, USA); Sharon Watkins (Florida Department of Health, USA); Andrew Reich (Florida Department of Health, USA)
(Artículo de revisión)
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.
Keywords: ciguatera fish poisoning, ciguatoxin, harmful algal bloom (HAB), treatment, human health, marine toxins
