CIGUATERA FISH POISONING: REVIEW OF CLINICAL MANIFESTATIONS

Ciguatera is a complex clinical syndrome, caused by a marine bio-toxin, which can affect nearly every system of the human body. The clinical syndrome has characteristic elements in its acute, chronic and recurring forms. The incidence of ciguatera is on the rise, and misdiagnosis is not uncommon. Appropriate identification, management and treatment of ciguatera is dependent on understanding the pathophysiology of the illness, determining the correct form of the illness, and applying the appropriate treatment modalities to that form. More research is necessary to clinically manage ciguatera and the clinical dilemmas it presents.