Barton E D, Tanner P, Turchen S G, Tunget C L, Manoguerra A, Clark R F
Department of Emergency Medicine, University of California, San Diego (UCSD), Medical Center 92103-8676, USA.
West J Med. 1995 Jul;163(1):31-5.
Ciguatera fish poisoning results from the bioconcentration of a variety of toxins produced by marine dinoflagellates. Signs and symptoms vary widely, but it usually presents as gastrointestinal and neurologic complaints beginning shortly after the ingestion of fish containing the toxins. Symptoms may persist for months and sometimes even years. Although cases have been reported throughout the United States, epidemics are most common along tropical and subtropical coasts and usually involve the ingestion of large carnivorous fish. We review the literature and report the first epidemic of 25 cases of ciguatera fish poisoning presenting to area hospitals in Southern California that were successfully tracked by the Department of Health Services and isolated to fish caught off the coast of Baja California, Mexico.
雪卡鱼中毒是由海洋甲藻产生的多种毒素生物浓缩所致。其体征和症状差异很大，但通常在摄入含毒素的鱼类后不久，表现为胃肠道和神经系统不适。症状可能持续数月，有时甚至数年。尽管美国各地都有病例报告，但疫情在热带和亚热带海岸最为常见，通常涉及食用大型食肉鱼类。我们查阅了文献，并报告了南加州地区医院收治的首例25例雪卡鱼中毒疫情，这些病例由卫生服务部成功追踪，并确定与在墨西哥下加利福尼亚海岸捕获的鱼类有关。
