Neurological mechanisms and differential diagnosis
Patel M, Jutzy K. A Curious Case of Ciguatera Fish Poisoning in the Midwest. J Emerg Med 2020
Clinical case review and emergency physician reference
Key trials
Schnorf H, Taurarii M, Cundy T. Ciguatera Fish Poisoning: A Double-Blind Randomized Trial of Mannitol Therapy. Neurology 2002
Only RCT on mannitol: no benefit over normal saline
Palafox NA et al. Successful Treatment of Ciguatera Fish Poisoning With Intravenous Mannitol. JAMA 1988
Historical case series supporting mannitol use
Mullins ME, Hoffman RS. Is Mannitol the Treatment of Choice for Patients With Ciguatera Fish Poisoning? Clin Toxicol 2017
Systematic review confirming no benefit of mannitol
Surveillance and epidemiology
Ciguatera Fish Poisoning — Texas and South Carolina. MMWR 2006
Cluster of Ciguatera Fish Poisoning — North Carolina 2007. MMWR 2009
Chan TY. Epidemiology and Clinical Features of Ciguatera Fish Poisoning in Hong Kong. Toxins 2014
Résière D et al. Clinical Characteristics of Ciguatera Poisoning in Martinique. Toxins 2022
Coding references
ICD-10 T61.01XA ciguatera fish poisoning initial encounter
SNOMED CT ciguatera poisoning disorder
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