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  • Title: Ciguatera toxicity.
    Author: Lange WR.
    Journal: Am Fam Physician; 1987 Apr; 35(4):177-82. PubMed ID: 3565219.
    Abstract:
    Ciguatera poisoning is the most common foodborne illness caused by a chemical toxin in the United States and is endemic in the Caribbean and Indo-Pacific. Ciguatoxin, produced by a marine dinoflagellate that attaches to algae, is passed up the food chain to large fish and, finally, to humans. The toxin has anticholinesterase activity. The clinical picture is characterized by a variety of gastrointestinal, neurologic and cardiovascular symptoms, usually self-limited. Amitriptyline is reported to be beneficial.
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