http://scholars.ntou.edu.tw/handle/123456789/9899
Title: | Short report: Persistent bradycardia caused by ciguatoxin poisoning after barracuda fish eggs ingestion in southern Taiwan | Authors: | YAO-MIN HUNG SHIH-YUAN HUNG KANG-JU CHOU NENG-CHYAN HUANG CHUNG-NI TUNG Deng-Fwu Hwang HSIAO-MIN CHUNG |
Issue Date: | Dec-2005 | Publisher: | American Journal of Tropical Medicine and Hygiene | Journal Volume: | 73 | Journal Issue: | 6 | Start page/Pages: | 1026-1027 | Source: | American Society of Tropical Medicine and Hygiene | Abstract: | We report an outbreak of ciguatoxin poisoning after barracuda fish ingestion in southern Taiwan. Three members of a family developed nausea, vomiting, watery diarrhea, and myalgias about 1 hour after eating three to ten eggs of a barracuda fish. Numbness of the lips and extremities followed the gastrointestinal symptoms about 2 hours after ingestion. Other manifestations included hyperthermia, hypotension, bradycardia, and hyperreflexia. Bradycardia persisted for several days, and one patient required a continuous infusion of intravenous atropine totaling 40 mg over 2 days. Further follow-up of the patients disclosed improvement of neurologic sequelae and bradycardia, but sensory abnormalities resolved several months later. In conclusion, ciguatoxin poisoning causes mainly gastrointestinal and neurologic effects of variable severity. In two patients with ciguatoxin poisoning after barracuda fish egg ingestion, persistent bradycardia required prolonged atropine infusion. |
URI: | http://scholars.ntou.edu.tw/handle/123456789/9899 | ISSN: | 0002-9637 | DOI: | 10.4269/ajtmh.2005.73.1026 |
Appears in Collections: | 食品科學系 |
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