Epidemiology and Toxicology of Ciguatera Poisoning in the Colombian Caribbean

Ciguatera is a food intoxication caused by the consumption of primarily coral fish; these species exist in large numbers in the seas that surround the Colombian territory. The underreported diagnosis of this clinical entity has been widely highlighted due to multiple factors, such as, among others,...

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Main Authors: Roberto Navarro Quiroz, Juan Carlos Herrera-Usuga, Laura Maria Osorio-Ospina, Katia Margarita Garcia-Pertuz, Elkin Navarro Quiroz
Format: Article
Language:English
Published: MDPI AG 2020-10-01
Series:Marine Drugs
Subjects:
Online Access:https://www.mdpi.com/1660-3397/18/10/504
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author Roberto Navarro Quiroz
Juan Carlos Herrera-Usuga
Laura Maria Osorio-Ospina
Katia Margarita Garcia-Pertuz
Elkin Navarro Quiroz
author_facet Roberto Navarro Quiroz
Juan Carlos Herrera-Usuga
Laura Maria Osorio-Ospina
Katia Margarita Garcia-Pertuz
Elkin Navarro Quiroz
author_sort Roberto Navarro Quiroz
collection DOAJ
description Ciguatera is a food intoxication caused by the consumption of primarily coral fish; these species exist in large numbers in the seas that surround the Colombian territory. The underreported diagnosis of this clinical entity has been widely highlighted due to multiple factors, such as, among others, ignorance by the primary care practitioner consulted for this condition as well as clinical similarity to secondary gastroenteric symptoms and common food poisonings of bacterial, parasitic or viral etiology. Eventually, it was found that people affected by ciguatoxins had trips to coastal areas hours before the onset of symptoms. Thanks to multiple studies over the years, it has been possible to identify the relation between toxigenic dinoflagellates and seagrasses, as well as its incorporation into the food chain, starting by fish primarily inhabiting reef ecosystems and culminating in the intake of these by humans. Identifying the epidemiological link, its cardinal symptoms and affected systems, such as gastrointestinal, the peripheral nervous system and, fortunately with a low frequency, the cardiovascular system, leads to a purely clinical diagnostic impression without necessitating further complementary studies; in addition, what would also help fight ciguatera poisoning is performing an adequate treatment of the symptoms right from the start, without underestimating or overlooking any associated complications.
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spelling doaj.art-c86d26909919470d8c1c3e5f961d4d1f2023-11-20T15:44:57ZengMDPI AGMarine Drugs1660-33972020-10-01181050410.3390/md18100504Epidemiology and Toxicology of Ciguatera Poisoning in the Colombian CaribbeanRoberto Navarro Quiroz0Juan Carlos Herrera-Usuga1Laura Maria Osorio-Ospina2Katia Margarita Garcia-Pertuz3Elkin Navarro Quiroz4CMCC-Centro de Matemática, Computação e Cognição, Laboratório do Biología Computacional e Bioinformática–LBCB, Universidade Federal do ABC, Sao Paulo 01023, BrazilSchool of Medicine, Universidad de Cartagena, Cartagena 130001, ColombiaSchool of Medicine, Universidad de Cartagena, Cartagena 130001, ColombiaSchool of Medicine, Universidad del Norte, Barranquilla 080001, ColombiaFaculty of Basic and Biomedical Sciences, Universidad Simón Bolívar, Barranquilla 080001, ColombiaCiguatera is a food intoxication caused by the consumption of primarily coral fish; these species exist in large numbers in the seas that surround the Colombian territory. The underreported diagnosis of this clinical entity has been widely highlighted due to multiple factors, such as, among others, ignorance by the primary care practitioner consulted for this condition as well as clinical similarity to secondary gastroenteric symptoms and common food poisonings of bacterial, parasitic or viral etiology. Eventually, it was found that people affected by ciguatoxins had trips to coastal areas hours before the onset of symptoms. Thanks to multiple studies over the years, it has been possible to identify the relation between toxigenic dinoflagellates and seagrasses, as well as its incorporation into the food chain, starting by fish primarily inhabiting reef ecosystems and culminating in the intake of these by humans. Identifying the epidemiological link, its cardinal symptoms and affected systems, such as gastrointestinal, the peripheral nervous system and, fortunately with a low frequency, the cardiovascular system, leads to a purely clinical diagnostic impression without necessitating further complementary studies; in addition, what would also help fight ciguatera poisoning is performing an adequate treatment of the symptoms right from the start, without underestimating or overlooking any associated complications.https://www.mdpi.com/1660-3397/18/10/504ciguatoxinsdinoflagellatesintoxicationmannitol
spellingShingle Roberto Navarro Quiroz
Juan Carlos Herrera-Usuga
Laura Maria Osorio-Ospina
Katia Margarita Garcia-Pertuz
Elkin Navarro Quiroz
Epidemiology and Toxicology of Ciguatera Poisoning in the Colombian Caribbean
Marine Drugs
ciguatoxins
dinoflagellates
intoxication
mannitol
title Epidemiology and Toxicology of Ciguatera Poisoning in the Colombian Caribbean
title_full Epidemiology and Toxicology of Ciguatera Poisoning in the Colombian Caribbean
title_fullStr Epidemiology and Toxicology of Ciguatera Poisoning in the Colombian Caribbean
title_full_unstemmed Epidemiology and Toxicology of Ciguatera Poisoning in the Colombian Caribbean
title_short Epidemiology and Toxicology of Ciguatera Poisoning in the Colombian Caribbean
title_sort epidemiology and toxicology of ciguatera poisoning in the colombian caribbean
topic ciguatoxins
dinoflagellates
intoxication
mannitol
url https://www.mdpi.com/1660-3397/18/10/504
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