Infectious Disease Compendium

Ciguatera

Diagnosis

GI (nausea, vomiting, cramps and diarrhea) then neuro (itching, muscle pain, dysesthesia and paresthesias) toxin. I am reminded of the first time I asked my high school girl friend out.

Epidemiologic Risks

Eating fish from 35°N-35°S latitude (Hawaii and S. Pacific, Florida and Caribbean) from Feb to Sept. Over 400 fish have been implicated, esp the big coral reef fish: Barracuda, red snapper, amberjack, and grouper. Bon appetite. You could always be a vegan, but then you would missing out on great eats. What good is being at the top of the food chain and not eating EVERYTHING? Did I type that? Or just think it?

Microbiology

A marine toxin from dinoflagellate Gambierdiscus toxicus.

Empiric Therapy

Supportive.

Pearls

Rants