Severe seafood poisoning in French Polynesia: a retrospective analysis of 129 medical files

Toxicon : Official Journal of the International Society on Toxinology
C GattiA M Legrand

Abstract

We present a retrospective study of 129 medical files concerning seafood poisonings (SFPs) registered at the central hospital of Tahiti (French Polynesia) between 1999 and 2005. Even if during that period most of the described cases (96%) concerned the ichtyosarcotoxism ciguatera, it is interesting to note that we also registered three other SFPs: tetrodotoxism, carchatoxism and lyngbyatoxism due to the consumption of tetraodon/diodon species, sharks or sea turtles, respectively. In ciguatera, cardiovascular symptoms were the primary criteria of severity with bradycardia and hypotension observed at 75% and 43%, respectively. Neurological manifestations (such as cerebellar syndrome, language troubles, diplopia or polyradiculoneuritis), trouble and/or loss of consciousness and dyspnoea were secondary criteria of severity. Body temperature was reported under 36.5 degrees C in 48 of 80 documented files. This observation, which has not previously been described in humans, may be related to possible central effects of the ingested toxin. The last remark concerns two extremely severe cases of ciguatera fish poisoning in which physicians had suspected an inflammatory neuropathy called the Guillain-Barré syndrome (GBS). Even if it is pr...Continue Reading

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Citations

Nov 26, 2010·Annals of Tropical Medicine and Parasitology·I StewartS B Craig
Dec 3, 2014·Toxicon : Official Journal of the International Society on Toxinology·César MatteiKatharina Zimmermann
May 7, 2015·Chemical Research in Toxicology·Victor MartínLuis M Botana
Oct 20, 2009·Toxicon : Official Journal of the International Society on Toxinology·Francine BaumannSerge Pauillac
Jun 13, 2009·Toxicon : Official Journal of the International Society on Toxinology·Mariko MatsuiSerge Pauillac
Aug 15, 2009·International Journal of Food Microbiology·Simone MagninoCarlos Van Peteghem
Feb 3, 2011·Phytotherapy Research : PTR·Shilpa Kumar-RoinéDominique Laurent
Apr 23, 2016·Toxicon : Official Journal of the International Society on Toxinology·S S SinghPaluru Vijayachari
Sep 29, 2011·Toxicon : Official Journal of the International Society on Toxinology·Eric CluaClaude Chauvet
Jun 12, 2016·Toxicon : Official Journal of the International Society on Toxinology·Lauren MeyerColin Simpfendorfer
Jan 2, 2019·Marine Drugs·Erick J Núñez-VázquezAmaury Cordero-Tapia
Nov 3, 2020·Annals of Clinical and Translational Neurology·Eoin Mulroy, Neil E Anderson
Apr 21, 2021·Harmful Algae·M ChinainP A Tester
May 21, 2009·Current Opinion in Allergy and Clinical Immunology

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