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Cardiovascular Complications in Ciguatera Fish Poisoning: A Wake-up Call.

Abstract
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.
AuthorsSubramanian Senthilkumaran, Ramachandran Meenakshisundaram, Andrew D Michaels, Ponnuswamy Suresh, Ponniah Thirumalaikolundusubramanian
JournalHeart views : the official journal of the Gulf Heart Association (Heart Views) Vol. 12 Issue 4 Pg. 166-8 (Oct 2011) ISSN: 0976-5123 [Electronic] India
PMID22574244 (Publication Type: Case Reports)

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