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<script type="text/javascript" src="/corehtml/pmc/jatsreader/ptpmc_3.22/js/jr.boots.min.js"> </script><title>Ciguatera Poisoning - Drugs and Lactation Database (LactMed®) - NCBI Bookshelf</title>
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<meta name="citation_title" content="Ciguatera Poisoning">
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<meta name="citation_publisher" content="National Institute of Child Health and Human Development">
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<meta name="citation_date" content="2024/06/15">
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<meta name="og:description" content="Ciguatera toxin is created in tropical reef-dwelling fish that ingest toxins from algal blooms produced by the dinoflagellate Gambierdiscus toxicus. The main toxin appears to be ciguatoxin, although maitotoxin has also been implicated. Ciguatera can present initially with gastrointestinal or neurological symptoms, such as paresthesia of the extremities and around the mouth. Although the fatality rate is low, neurologic effects can last for weeks. Mothers suspected of having ciguatera poisoning should not breastfeed until they have recovered.">
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class="wsprkl btn" title="Jump to next match">▶</a></nav></nav></div><div id="jr-epub-interstitial" class="hidden"></div><div id="jr-content"><article data-type="main"><div class="main-content lit-style" itemscope="itemscope" itemtype="http://schema.org/CreativeWork"><div class="meta-content fm-sec"><div class="fm-sec"><h1 id="_NBK532506_"><span class="title" itemprop="name">Ciguatera Poisoning</span></h1><p class="fm-aai"><a href="#_NBK532506_pubdet_">Publication Details</a></p><p><em>Estimated reading time: 1 minute</em></p></div></div><div class="jig-ncbiinpagenav body-content whole_rhythm" data-jigconfig="allHeadingLevels: ['h2'],smoothScroll: false" itemprop="text"><div id="LM1422.Drug_Levels_and_Effects"><h2 id="_LM1422_Drug_Levels_and_Effects_">Drug Levels and Effects</h2><div id="LM1422.Summary_of_Use_during_Lactation"><h3>Summary of Use during Lactation</h3><p>Ciguatera toxin is created in tropical reef-dwelling fish that ingest toxins from algal blooms produced by the dinoflagellate <i>Gambierdiscus toxicus</i>. The main toxin appears to be ciguatoxin, although maitotoxin has also been implicated. Ciguatera can present initially with gastrointestinal or neurological symptoms, such as paresthesia of the extremities and around the mouth. Although the fatality rate is low, neurologic effects can last for weeks. Mothers suspected of having ciguatera poisoning should not breastfeed until they have recovered.</p></div><div id="LM1422.Drug_Levels"><h3>Drug Levels</h3><p><i>Maternal Levels.</i> Relevant published information was not found as of the revision date.</p><p><i>Infant Levels.</i> Relevant published information was not found as of the revision date.</p></div><div id="LM1422.Effects_in_Breastfed_Infants"><h3>Effects in Breastfed Infants</h3><p>A review of 12,890 cases in French Polynesia from 1964 to 1986 found 3 breastfed infants between 6 and 10 months of age who were affected following maternal poisoning.[<a class="bibr" href="#LM1422.REF.1" rid="LM1422.REF.1">1</a>]</p><p>Another case of a breastfed infant under 3 months of age was reported in 1989 from Hawaii, in which green stools were the primary symptom. Breastfeeding was discontinued with improvement. Symptoms reappeared when breastfeeding was resumed a few days later.[<a class="bibr" href="#LM1422.REF.2" rid="LM1422.REF.2">2</a>] Because of the time between exposures, it is unclear if ciguatera toxin was the offending agent.</p><p>A 4-month old who was breastfed 1 and 4 hours after maternal ingestion of a kingfish occurred in the Bahamas. Symptoms included colic, and diarrhea persisting for 48 hours beginning about 10 hours after the first nursing. This was followed by fine maculopapular rash and fussiness that lasted for 2 weeks.[<a class="bibr" href="#LM1422.REF.3" rid="LM1422.REF.3">3</a>]</p></div><div id="LM1422.Effects_on_Lactation_and_Breastmi"><h3>Effects on Lactation and Breastmilk</h3><p>Relevant published information was not found as of the revision date.</p></div><div id="LM1422.References"><h3>References</h3><dl class="temp-labeled-list"><dl class="bkr_refwrap"><dt>1.</dt><dd><div class="bk_ref" id="LM1422.REF.1">Bagnis RA, Legrand AM. Clinical features on 12,890 cases of ciguatera (fish poisoning) in French Polynesia. In, Gopalakrishnakone P, Tan CK, eds Progress in venom and toxin research: Proceedings of the First Asia-Pacific Congress on Animal, Plant, and Microbial Toxins Singapore June 24-27, 1987:372-84.</div></dd></dl><dl class="bkr_refwrap"><dt>2.</dt><dd><div class="bk_ref" id="LM1422.REF.2">Anon.
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Letter to the editor.
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Vet Hum Toxicol
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1989;31:71.
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</div></dd></dl><dl class="bkr_refwrap"><dt>3.</dt><dd><div class="bk_ref" id="LM1422.REF.3">Blythe
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DG, de Sylva
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DP. Mother's milk turns toxic following fish feast.
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JAMA
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1990;264:2074.
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[<a href="https://pubmed.ncbi.nlm.nih.gov/2214071" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 2214071</span></a>]</div></dd></dl></dl></div></div><div id="LM1422.Substance_Identification"><h2 id="_LM1422_Substance_Identification_">Substance Identification</h2><div id="LM1422.Substance_Name"><h3>Substance Name</h3><p>Ciguatera Poisoning</p></div><div id="LM1422.Drug_Class"><h3>Drug Class</h3><p>Breast Feeding</p><p>Lactation</p><p>Milk, Human</p><p>Foodborne Diseases</p><p>Poisoning</p></div></div><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt></dt><dd><div><p class="no_top_margin"><p><b>Disclaimer: </b>Information presented in this database is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation. The U.S. government does not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site.</p></p></div></dd></dl></dl></div><div id="bk_toc_contnr"></div></div></div><div class="fm-sec"><h2 id="_NBK532506_pubdet_">Publication Details</h2><h3>Publication History</h3><p class="small">Last Revision: <span itemprop="dateModified">June 15, 2024</span>.</p><h3>Copyright</h3><div><div class="half_rhythm"><a href="/books/about/copyright/">Copyright Notice</a><p class="small"><b>Attribution Statement:</b> LactMed is a registered trademark of the U.S. Department of Health and Human Services.</p></div></div><h3>Publisher</h3><p><a href="https://www.nlm.nih.gov/" ref="pagearea=page-banner&targetsite=external&targetcat=link&targettype=publisher">National Institute of Child Health and Human Development</a>, Bethesda (MD)</p><h3>NLM Citation</h3><p>Drugs and Lactation Database (LactMed®) [Internet]. Bethesda (MD): National Institute of Child Health and Human Development; 2006-. Ciguatera Poisoning. [Updated 2024 Jun 15].<span class="bk_cite_avail"></span></p></div><div class="small-screen-prev"><a href="/books/n/lactmed/cidofovir/?report=reader"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 100 100" preserveAspectRatio="none"><path d="M75,30 c-80,60 -80,0 0,60 c-30,-60 -30,0 0,-60"></path><text x="20" y="28" textLength="60" style="font-size:25px">Prev</text></svg></a></div><div class="small-screen-next"><a href="/books/n/lactmed/LM1482/?report=reader"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 100 100" preserveAspectRatio="none"><path d="M25,30c80,60 80,0 0,60 c30,-60 30,0 0,-60"></path><text x="20" y="28" textLength="60" style="font-size:25px">Next</text></svg></a></div></article></div><div id="jr-scripts"><script src="/corehtml/pmc/jatsreader/ptpmc_3.22/js/libs.min.js"> </script><script src="/corehtml/pmc/jatsreader/ptpmc_3.22/js/jr.min.js"> </script></div></div>
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