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Ciguatera fish poisoning in Korea: a case report

한국에서 발생한 시구아테라: 증례보고

  • Kang, Jeong Ho (Department of Emergency Medicine, Jeju National University School of Medicine) ;
  • Lee, Sung Kgun (Department of Emergency Medicine, Jeju National University School of Medicine)
  • 강정호 (제주대학교 의학전문대학원 응급의학교실) ;
  • 이성근 (제주대학교 의학전문대학원 응급의학교실)
  • Received : 2021.03.02
  • Accepted : 2021.03.19
  • Published : 2021.06.30

Abstract

Ciguatera is the commonest syndrome of marine poisoning that is caused by the ingestion of ciguatoxins that accumulate in certain tropical and subtropical finfish. It is endemic throughout the subtropical and tropical regions of the Indo-Pacific and Caribbean and has been rarely reported in Korea. With the expansion of travel, tourism, and the import of fish from the tropics, ciguatera poisoning now affects a diverse population. We report a case of ciguatera in a 70-year-old woman, presenting with general paralysis and coma, which developed after consuming codfish and mackerel in Korea.

Keywords

References

  1. Isbister GK, Kiernan MC. Neurotoxic marine poisoning. Lancet Neurol. 2005;4:219-28. https://doi.org/10.1016/S1474-4422(05)70041-7
  2. Mustafa M, Yoshida T, Waheed Z. Seafood poisoning, symptom, treatment, and prevention. Borneo Journal of Marine Science and Aquaculture (BJoMSA). 2018;2:64-9. https://doi.org/10.51200/bjomsa.v2i0.1252
  3. Kang GJ. Method development and monitoring of ciguatoxin in fish. National Institute of Food and Drug Safety Evaluation. 2018.
  4. Pearn J. Neurology of ciguatera. Journal of Neurology, Neurosurgery & Psychiatry 2001;70:4. https://doi.org/10.1136/jnnp.70.1.4
  5. Lehane L. Ciguatera update. Medical journal of Australia 2000;172:176-9. https://doi.org/10.5694/j.1326-5377.2000.tb125546.x
  6. Traylor J, Singhal M. Ciguatera Toxicity. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright © 2020, StatPearls Publishing LLC.; 2020.
  7. Friedman MA, Fernandez M, Backer LC et al. An Updated Review of Ciguatera Fish Poisoning: Clinical, Epidemiological, Environmental, and Public Health Management. Mar Drugs 2017;15.
  8. Bum Jin Oh, Hyung Keun Roh. (2013). Proper Understanding and Application of Gastric Lavage. Journal of the Korean society of clinical toxicology, 11(1), 1-8.
  9. Schnorf H, Taurarii M, Cundy T. Ciguatera fish poisoning: a double-blind randomized trial of mannitol therapy. Neurology 2002;58:873-80. https://doi.org/10.1212/WNL.58.6.873
  10. Bagnis R, Spiegel A, Boutin J et al. Evaluation of the efficacy of mannitol in the treatment of ciguatera in French Polynesia. Medecine tropicale: revue du Corps de sante colonial 1992;52:67-73.
  11. Pearn JH, Lewis RJ, Ruff T et al. Ciguatera and mannitol: experience with a new treatment regimen. Medical journal of Australia 1989;151:77-80. https://doi.org/10.5694/j.1326-5377.1989.tb101165.x
  12. Palafox NA, Jain LG, Pinano AZ et al. Successful treatment of ciguatera fish poisoning with intravenous mannitol. Jama 1988;259:w2740-2.
  13. Blythe D, Fleming L, Ram Ayyar D et al. Mannitol therapy for acute and chronic ciguatera fish poisoning. Memoirs of the Queensland Museum Brisbane 1994;34:465-70.
  14. Gray MJ, Gates MC. A descriptive study of ciguatera fish poisoning in Cook Islands dogs and cats: Exposure history, clinical signs, and formulation of a case definition. Veterinary world 2020;13:372. https://doi.org/10.14202/vetworld.2020.372-385
  15. Gray MJ, Gates MC. A descriptive study of ciguatera fish poisoning in Cook Islands dogs and cats: Treatment and outcome. Veterinary world 2020;13:1269. https://doi.org/10.14202/vetworld.2020.1269-1279
  16. MJ Cha, JH Choi, HU Lee et al. A case of neurologic symptom in association with intoxication after ingestion of codfish intestine. J Korean Neurol Assoc 2007;25:263-5.
  17. Baek S-H. Occurrence of the Toxic Benthic Dinoflagellate Gambierdiscus spp. in the Uninhabited Baekdo Islands off Southern Coast and Seopsom Island in the Vicinity of Seogwipo, Jeju Province, Korea. Ocean and Polar Research 2012;34:65-71. https://doi.org/10.4217/OPR.2012.34.1.065
  18. Baek SH. First Report for Appearance and Distribution Patterns of the Epiphytic Dinoflagellates in the Korean Peninsula. Environmental Biology Research 2012;30:355-61. https://doi.org/10.11626/KJEB.2012.30.4.355