Oehler Erwan, Bouchut Jérémie
Centre hospitalier de Polynésie française, service de médecine interne et polyvalente, avenue du Général-de-Gaulle, 98716 Pirae, Tahiti, Polynésie française.
Centre hospitalier de Polynésie française, service de médecine interne et polyvalente, avenue du Général-de-Gaulle, 98716 Pirae, Tahiti, Polynésie française.
Presse Med. 2014 Sep;43(9):902-11. doi: 10.1016/j.lpm.2014.01.019. Epub 2014 Jul 4.
Ciguatera, an ichtyosarcotoxism linked to the consumption of usually healthy coral fish is a common poisoning in the Pacific, Caribbean and Indian Ocean where it is endemic. However, increased tourism and commercial transportation of tropical fish for consumption make it an unexceptional intoxication in countries away from its endemic area. Environmental stresses such as climate changes also contribute to the expansion of its geographical area. The non-specific clinical symptomatology is characterized by the occurrence of gastrointestinal, cardiovascular, nervous and general signs few hours after eating a ciguatoxic fish. The diagnosis is clinical and relatively easy in endemic areas but much less for physicians who are rarely confronted with, which is a source of prolonged diagnostic delays and a significant increase in spending. Treatment of ciguatera is symptomatic but new treatments, still experimental, give a real hope for the future.
雪卡毒素中毒是一种与食用通常健康的珊瑚鱼有关的鱼肉毒中毒，在太平洋、加勒比海和印度洋等地方很常见，是这些地区的地方病。然而，旅游业的增加以及供食用的热带鱼商业运输，使得在远离其流行地区的国家，这种中毒情况也并不罕见。气候变化等环境压力也促使其地理范围扩大。非特异性临床症状表现为食用含雪卡毒素的鱼几小时后出现胃肠道、心血管、神经和全身症状。在流行地区，诊断基于临床症状，相对容易，但对于很少遇到这种情况的医生来说则困难得多，这会导致诊断延误延长和费用大幅增加。雪卡毒素中毒的治疗是对症治疗，但仍处于实验阶段的新疗法为未来带来了真正的希望。
