1/2. Successful treatment of ciguatera fish poisoning with intravenous mannitol.Twenty-four patients with acute ciguatera fish poisoning were treated with intravenous mannitol, and each patient's condition improved dramatically. All exhibited marked lessening of neurologic and muscular dysfunction within minutes of the administration of mannitol. Gastrointestinal symptoms disappeared more slowly. Two patients in coma and one in shock responded within minutes, with full recovery after infusion. Although these observations were empiric and uncontrolled and the mechanism of action of mannitol in this disease is unclear, mannitol should be considered for initial use in patients with significant illness and morbidity from ciguatera fish poisoning.- - - - - - - - - - ranking = 1keywords = coma (Clic here for more details about this article) |
2/2. coma due to ciguatera poisoning in rhode island.A patient is presented who developed an acute gastrointestinal and neurologic syndrome progressing to coma after ingestion of a fish soup made in rhode island. Laboratory studies confirmed the clinical diagnosis of ciguatera poisoning. physicians should be aware of the diagnostic features of this disease even in non-endemic areas.- - - - - - - - - - ranking = 1keywords = coma (Clic here for more details about this article) |