Ciguatera fish poisoning

Ciguatera fish poisoning
Acute Poisoning
Acute-Moderate (not life-threatening)
Ciguatoxin poisoning
Biomedical References
Symptoms of ciguatera fish poisoning begin within an hour of eating and include diarrhea, vomiting, abdominal pain, paresthesias, pain and weakness of the lower extremities, and bradycardia. Distortion of temperature sensation, bizarre tastes, and "aching teeth" are frequently reported. Complete recovery within a few weeks is the usual course. Severe cases with coma and respiratory arrest within 24 hours of ingestion have been reported. [CCDM, p. 247] Other symptoms may include pruritis, headache, myalgia, reversal of hot/cold sensations, and facial pain. [Merck Manual, p. 3064] Heart abnormalities include bradycardia, hypotension, T wave abnormalities on EKG. Toxin most commonly found in large reef fish (grouper, red snapper, amberjack, and barracuda). [Foodborne Illnesses. MMWR. 4/16/04] Poisoning has also been reported after eating parrotfish, surgeon fish, moray eel, sea bass, and sturgeon. [CDC Travel, p. 92] Other findings are aphonia, fatigue, tremor, ataxia, vertigo, and arthralgias. [Cecil, p. 699]
GI symptoms: 2-6 hrs; Neurological: 3 hrs; Heart: 2-5 days; [Foodborne Illnesses. MMWR. April 16, 2004]
Clinical; Radioassay for toxin in fish;
ICD-9 Code
ICD-10 Code
Reference Link

Symptoms/Findings, Job Tasks, and Agents Linked to This Disease

Job Tasks

High risk job tasks associated with this disease:


Hazardous agents that cause the occupational disease: