| CASE REPORT |
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| Year : 2011 | Volume
: 12
| Issue : 4 | Page : 166-168 |
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Cardiovascular complications in ciguatera fish poisoning: A wake-up call
Subramanian Senthilkumaran1, Ramachandran Meenakshisundaram2, Andrew D Michaels3, Ponnuswamy Suresh1, Ponniah Thirumalaikolundusubramanian2
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
 Source of Support: None, Conflict of Interest: None  | Check |
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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