Ciguatera Timur, Jess and Siddharth What is it? Ciguatera is a - - PowerPoint PPT Presentation
Ciguatera Timur, Jess and Siddharth What is it? Ciguatera is a - - PowerPoint PPT Presentation
Ciguatera Timur, Jess and Siddharth What is it? Ciguatera is a form of food poisoning, caused by eating contaminated fish carrying the ciguatera toxin Organisms responsible Dinoflagellates such as Gambierdiscus toxicus produce ciguatoxin
What is it?
Ciguatera is a form of food poisoning, caused by eating contaminated fish carrying the ciguatera toxin
Organisms responsible
- Dinoflagellates such as Gambierdiscus toxicus produce
ciguatoxin
- The toxin moves up the food chain as the dinoflagellates
are eaten by fish
Gambierdiscus toxicus
Locations
- Caribbean Sea, Hawaii, and coastal Central America
- With fish from ciguatera endemic areas being shipped nationwide, poisonings
can potentially occur in any areas in the United States.
Areas known to be at risk for ciguatera
Who is affected?
- Humans who eat contaminated contaminated reef fish
may develop ciguatera poisoning
- Fish are unaffected by the toxin
Cause
- Consuming fish that have
been contaminated by ciguatera toxin
- This toxin is a heat-stable lipid
soluble compound, produced by dinoflagellates and is concentrated in fish organs.
Detection/Symptoms
- Symptoms can include rashes, nausea, pins and needles,
ataxia, vomiting, tingling, and numbness.
- Symptoms usually occurs 6-8 hours, but can occur as
early as 2 hours or as late as 24 hours after consuming the fish
- can be mistaken for multiple sclerosis
- Usually lasts weeks to months, can last years
Prevention
- Removing entire species of
dinoflagellates from the ocean is impractical
- Best way to avoid getting ciguatera
is by avoiding consumption of reef fish such as barracuda, grouper, red snapper, eel, amberjack, sea bass, and Spanish mackerel.
Avoid reef fish!
- Within 30 minutes of ingestion, activated charcoal can absorb the
toxin
- Mannitol, a sugar alcohol, can reduce neurological symptoms (via iv)
- Gabapentin has shown promise in alleviating symptoms in two
patients
- Large intake of the vitamin B-12
Treatment
Activated Charcoal
Citations
Activated Charcoal Image: http://www.onegoodthingbyjillee.com/wp- content/uploads/2013/02/activated-charcoal-2.jpg http://www.whoi.edu/science/B/redtide/species/cfp_vectorfish.jpg http://www.emedicinehealth.com/wilderness_ciguatera_toxin/article_em.htm https://underthecblog.files.wordpress.com/2014/07/fish_health_01.jpg