A problem of the tropics and subtropics but watch out with global warming. Ciguatera poisoning is usually associated with eating food high up the marine food chain such as tropical reef fish. It is caused by a heat-stable Dinoflagellate toxin, which produces symptoms within a few minutes to day and a half. Symptoms include
- Nausea and vomiting
- Muscle cramps and aches
and if severe
- Paraesthesias- burning or pins-and-needles, altered hot and cold sensation to normal
- ↑ Watkins SM, Reich A, Fleming LE, Hammond R. Neurotoxic shellfish poisoning. Marine drugs. 2008; 6(3):431-55.(Link to article – subscription may be required.)
- ↑ Schnorf H, Taurarii M, Cundy T. Ciguatera fish poisoning: a double-blind randomized trial of mannitol therapy. Neurology. 2002 Mar 26; 58(6):873-80.