Vergiftung durch Tropenfisch: Ciguatera-Epidemie in Deutschland

Zimmermann, Katharina, Eisenblätte, Anneka, Vetter, Irina, Ebbecke, Martin, Friedemann, Miriam and Desel, Herbert (2015) Vergiftung durch Tropenfisch: Ciguatera-Epidemie in Deutschland. Deutsche Medizinische Wochenschrift, 140 2: 125-130. doi:10.1055/s-0040-100439

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Author Zimmermann, Katharina
Eisenblätte, Anneka
Vetter, Irina
Ebbecke, Martin
Friedemann, Miriam
Desel, Herbert
Title Vergiftung durch Tropenfisch: Ciguatera-Epidemie in Deutschland
Translated title Imported tropical fish causes ciguatera fish poisoning in Germany
Language of Title ger
Journal name Deutsche Medizinische Wochenschrift   Check publisher's open access policy
Translated journal name Deutsche Medizinische Wochenschrift
Language of Journal Name ger
ISSN 0012-0472
1439-4413
Publication date 2015-01-01
Year available 2015
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1055/s-0040-100439
Open Access Status File (Author Post-print)
Volume 140
Issue 2
Start page 125
End page 130
Total pages 6
Place of publication Stuttgart, Germany
Publisher Georg Thieme Verlag
Collection year 2016
Language ger
Formatted abstract
Ciguatera is a seafood-borne illness caused by consumption of tropical fish contaminated with ciguatoxins, lipophilic polyethers that are produced in benthic dinoflagellates and accumulate through the marine food chain. Ciguatera cases in Europe usually occur in travellers returning from tropical and subtropical regions of the Pacific and Carribean, where ciguatera is endemic. In 2012, several cases of ciguatera occurred in Germany due to sale of contaminated fish products originating from the Indian Ocean. Although the symptomatology in these cases were typical of ciguatera, with patients reporting gastrointestinal discomfort including nausea, vomiting and diarrhea as well as neurological effects including widespread intense pruritus, paresthesias, hypothermia or altered temperature sensation and diffuse pain, correct diagnosis was delayed in all cases due to lack of awareness of the treating medical practitioners. In light of increasing global mobility, trade, and occurrence of ciguatoxic fish in previously non-endemic areas, ciguatera should be considered as a possible diagnosis if gastrointestinal and neurological symptoms occur shortly after consumption of fish.
Keyword Seafood intoxication
Cold allodynia
Ciguatoxins
Sodium channels
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2016 Collection
Institute for Molecular Bioscience - Publications
 
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