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CASE REPORT
Year : 2011  |  Volume : 12  |  Issue : 4  |  Page : 166-168

Cardiovascular complications in ciguatera fish poisoning: A wake-up call


1 Department of Accident, Emergency and Critical Care Medicine, Sri Gokulam Hospitals and Research Institute, Salem, Tamil Nadu, India
2 Chennai Medical College Hospital and Research Center, Irungalur, Trichy, India
3 St. Joseph Hospitals, Humboldt Medical Specialists, Eureka, CA, USA

Correspondence Address:
Subramanian Senthilkumaran
Department of Accident, Emergency and Critical Care Medicine, Sri Gokulam Hospital and Research Institute, Salem, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1995-705X.90905

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Ciguatera fish poisoning occurs with ingestion of fish containing ciguatoxin. It causes a clinical syndrome that comprises classic gastrointestinal, neurological and cardiovascular symptoms. Ciguatoxin is a sodium channel agonist with cholinergic and adrenergic activity. Although cardiovascular symptoms are rare with ciguatoxin, we report two cases with bradycardia and hypotension. Fatality and long-term sequelae are not uncommon with ciguatoxin poisoning and educating the general population is essential.


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