Advertisement
Letter to the Editor|Articles in Press

Comment on Chronic Ciguatera Poisoning

      Dr. Johnson-Arbor
      • Johnson-Arbor K.K.
      Chronic ciguatera poisoning: a case report.
      described an illustrative case of ciguatera fish poisoning, but we disagree on treatment. Johnson-Arbor
      • Johnson-Arbor K.K.
      Chronic ciguatera poisoning: a case report.
      describes the evidence supporting mannitol as “minimal.” This description is subjective and misleading. In fact, mannitol is the most studied treatment for ciguatera fish poisoning (including cases involving symptoms for weeks or months).
      • Bagnis R.
      • Spiegel A.
      • Boutin J.P.
      • Burucoa C.
      • Nguyen L.
      • Cartel J.L.
      • et al.
      Evaluation of the efficacy of mannitol in the treatment of ciguatera in French Polynesia.
      • Blythe D.G.
      • De Sylva D.P.
      • Fleming L.E.
      • Ayyar R.A.
      • Baden D.G.
      • Shrank K.
      Clinical experience with iv mannitol in the treatment of ciguatera.
      • Blythe D.G.
      • Fleming L.E.
      • Ayyar D.R.
      • De Sylva D.
      • Baden D.
      • Schrank K.
      Mannitol therapy for acute and chronic ciguatera fish poisoning.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Wilderness & Environmental Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Johnson-Arbor K.K.
        Chronic ciguatera poisoning: a case report.
        Wilderness Environ Med. 2023 Mar 2; (S1080-6032(23)00003-0) (Epub ahead of print)
        • Bagnis R.
        • Spiegel A.
        • Boutin J.P.
        • Burucoa C.
        • Nguyen L.
        • Cartel J.L.
        • et al.
        Evaluation of the efficacy of mannitol in the treatment of ciguatera in French Polynesia.
        Med Trop. 1992; 52: 67-73
        • Blythe D.G.
        • De Sylva D.P.
        • Fleming L.E.
        • Ayyar R.A.
        • Baden D.G.
        • Shrank K.
        Clinical experience with iv mannitol in the treatment of ciguatera.
        Bull Soc Pathol Exot. 1992; 85: 425-426
        • Blythe D.G.
        • Fleming L.E.
        • Ayyar D.R.
        • De Sylva D.
        • Baden D.
        • Schrank K.
        Mannitol therapy for acute and chronic ciguatera fish poisoning.
        Memoirs Queensland Museum. 1994; 34: 465-470
        • Bilić E.
        • Hajnšek S.
        • Kello N.
        • Čilić A.Z.
        • Čerimagić D.
        • Bilić E.
        • et al.
        Neurotoxin-induced fibromyalgia after ciguatera poisoning?.
        Neurol Croat. 2014; 63: 55-59
        • Brett J.
        • Murnion B.
        Pregabalin to treat ciguatera fish poisoning.
        Clin Toxicol. 2015; 53: 588
        • Eastaugh J.A.
        Delayed use of intravenous mannitol in ciguatera (fish poisoning).
        Ann Emerg Med. 1996; 28: 105-106
        • Mitchell G.
        Treatment of a mild chronic case of ciguatera fish poisoning with intravenous mannitol, a case study.
        Pac Health Dialog. 2005; 12: 155-157
        • Schwarz E.S.
        • Mullins M.E.
        • Brooks C.B.
        Ciguatera poisoning successfully treated with delayed mannitol.
        Ann Emerg Med. 2008; 52: 476-477
        • Mullins M.E.
        • Liss D.B.
        • Schwarz E.S.
        • Arroyo-Plasencia A.
        61-year-old woman-nausea-paresthesia-cold allodynia-Dx?.
        J Fam Pract. 2022; 71: 138-140
        • Mullins M.E.
        • Hoffman R.S.
        Is mannitol the treatment of choice for patients with ciguatera fish poisoning?.
        Clin Toxicol. 2017; 55: 947-955