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Table of Contents
COMMENTARY
Year : 2011  |  Volume : 12  |  Issue : 4  |  Page : 165  

Ciguatera fish poisoning


Department of Cardiology and Cardiothoracic Surgery, Heart Hospital, Hamad Medical Corporation, Doha, Qatar

Date of Web Publication15-Dec-2011

Correspondence Address:
H A Hajar Albinali
Department of Cardiology and Cardiothoracic Surgery, Heart Hospital, Hamad Medical Corporation, Doha
Qatar
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1995-705X.90904

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How to cite this article:
Hajar Albinali H A. Ciguatera fish poisoning. Heart Views 2011;12:165

How to cite this URL:
Hajar Albinali H A. Ciguatera fish poisoning. Heart Views [serial online] 2011 [cited 2019 Apr 18];12:165. Available from: http://www.heartviews.org/text.asp?2011/12/4/165/90904

Ciguatoxins that cause ciguatera poisoning are produced by microscopic sea plant-like forms that grow in reefs of warm tropical waters. They are unicellular algae and algae-like organisms called dinoflagellates. Small fish that eat the algae become contaminated. If larger fish eat many smaller, contaminated fish, the poison can build up to a dangerous level. In this issue of Heart Views (2011 Oct-Dec Issue 4/Vol. 12) Senthilkumaran et al., in their article, "Cardiovascular Complications in Ciguatera Fish Poisoning: A Wake-up Call" raise our awareness about this phenomenon.

As the authors state, ciguatoxin is lipid soluble, heat resistant, and not affected by freezing. Since the toxin is heat stable, cooking does not destroy the toxin, no matter how well the fish is cooked. Contaminated fish, when consumed, will cause poisoning.

Dinoflagellates are present in the whole of the Arabian Gulf and have been scientifically reported to be present along Kuwait's shores [1],[2] when large numbers of dead fish were seen along its shores. To my knowledge, no human ciguatera poisoning has been reported in the Gulf.

Human ciguatera fish poisoning in the Gulf may be underreported or not diagnosed yet. The toxin is no doubt present in the Gulf. Dinoflagellates are implicated in causing the "red tide" phenomenon in the Gulf, also known as an algal bloom. The photosynthetic pigment in the algae gives it the red coloration. This is commonly seen in the summer throughout the Arabian Gulf. We, in the Gulf, refer to this phenomenon locally as "sea menstrual period." It causes death of large numbers of fish due to the toxins and depletion of dissolved oxygen. A report on ciguatera fish poisoning may raise our clinical suspicion of such poisoning in the future.

 
   References Top

1.Polikarpov I, Al-Yamani F, Saburova M. Space-time variability of phytoplankton structure and diversity in the north-western part of the Arabian Gulf (Kuwait's waters). BioRisk 2009;3:83-96.  Back to cited text no. 1
    
2.Heil CA, Glibert PM, Al-Sarawl MA, Faraj M, Behbehani M, Husain M. "First Record of a Fish-Killing Gymnodinium Sp Bloom in Kuwait Bay, Arabian Sea: Chronology and Potential Causes." Marine Ecology - Progress Series 2001;214:15-23.  Back to cited text no. 2
    




 

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