Rafi Amar, Israel
Info
Caranx sexfasciatus Quoy & Gaimard, 1825
Adults inhabit coastal and oceanic waters associated with reefs.
fishbase; Reports of ciguatera poisoning
Consuming this animal can trigger the dreaded Ciguatera fish poisoning.
The cause is to be found in certain unicellular organisms (dinoflagellates, such as Gambierdiscus toxicus), which produce toxins in the body of harmless and otherwise well-tolerated food fish, which can lead to various symptoms in humans:
Initial symptoms: Sweating, numbness and burning, especially around the mouth.
This is followed later by chills, dizziness, nausea, vomiting, diarrhoea, abdominal pain and muscle cramps. Paresthesia (itching, tingling, numbness) on the lips, the mucous membrane of the mouth and especially on the palms of the hands and soles of the feet, numbness in the hands, feet and face.
Paralysis of the skeletal muscles, including the respiratory muscles, dizziness and coordination disorders may occur. Muscle pain, joint pain, headache, toothache, shivering and sweating are further symptoms. A general feeling of weakness develops. Consumption of alcohol aggravates the symptoms.
Less common are life-threatening drops in blood pressure and palpitations (tachycardia) or the opposite. Overall, the condition is very rare, but it leads to death in about 7% of cases.
Attention: An antidote does not exist!
First aid:
As early as possible: Pump out the stomach, if vomiting does not occur by itself
Activated carbon (medical carbon) give to bind the toxins: dosage is 1 g / kg body weight.
Promote excretion: As an acute therapy, the attending physician can give an infusion of 20% mannitol (sugar alcohol). The mechanism of action is unclear. Mannitol promotes urine excretion, so this measure should only be taken after fluid and electrolytes have been supplemented to prevent a circulatory collapse.
Rehydration with fluid and electrolytes is a sensible measure anyway, especially after vomiting and diarrhoea.
In life-threatening situations, plasma expanders should be given, i.e. infusions that increase the volume of the blood and remain in the circulation for a long time.
Cardiovascular symptoms may require further medical intervention: Atropine can be given if the heartbeat slows down, dopamine if the blood pressure drops.
You can find more information here:
http://www.dr-bernhard-peter.de/Apotheke/seite116.htm
Synonymised names:
Carangoides sexfasciatus (Quoy & Gaimard, 1825) (subsequent combination)
Carangus elacate Jordan & Evermann, 1903
Carangus marginatus Gill, 1863
Carangus rhabdotus Jenkins, 1903
Caranx belengerii Cuvier, 1833
Caranx butuanensis Seale, 1910
Caranx elacate (Jordan & Evermann, 1903) (synonym)
Caranx flavocoeruleus Temminck & Schlegel, 1844
Caranx forsteri Cuvier, 1833
Caranx fosteri Cuvier, 1833
Caranx marginatus (Gill, 1863)
Caranx oshimai Wakiya, 1924
Caranx paraspistes Richardson, 1848
Caranx peronii Cuvier, 1833
Caranx sexfaciatus Quoy & Gaimard, 1825 (misspelling)
Caranx sexfaciatus elacate (Jordan & Evermann, 1903)
Caranx sexfaciatus marginatus (Gill, 1863)
Caranx tapeinosoma Bleeker, 1856
Caranx thompsoni Seale, 1905
Caranx xanthopygus Cuvier, 1833
Adults inhabit coastal and oceanic waters associated with reefs.
fishbase; Reports of ciguatera poisoning
Consuming this animal can trigger the dreaded Ciguatera fish poisoning.
The cause is to be found in certain unicellular organisms (dinoflagellates, such as Gambierdiscus toxicus), which produce toxins in the body of harmless and otherwise well-tolerated food fish, which can lead to various symptoms in humans:
Initial symptoms: Sweating, numbness and burning, especially around the mouth.
This is followed later by chills, dizziness, nausea, vomiting, diarrhoea, abdominal pain and muscle cramps. Paresthesia (itching, tingling, numbness) on the lips, the mucous membrane of the mouth and especially on the palms of the hands and soles of the feet, numbness in the hands, feet and face.
Paralysis of the skeletal muscles, including the respiratory muscles, dizziness and coordination disorders may occur. Muscle pain, joint pain, headache, toothache, shivering and sweating are further symptoms. A general feeling of weakness develops. Consumption of alcohol aggravates the symptoms.
Less common are life-threatening drops in blood pressure and palpitations (tachycardia) or the opposite. Overall, the condition is very rare, but it leads to death in about 7% of cases.
Attention: An antidote does not exist!
First aid:
As early as possible: Pump out the stomach, if vomiting does not occur by itself
Activated carbon (medical carbon) give to bind the toxins: dosage is 1 g / kg body weight.
Promote excretion: As an acute therapy, the attending physician can give an infusion of 20% mannitol (sugar alcohol). The mechanism of action is unclear. Mannitol promotes urine excretion, so this measure should only be taken after fluid and electrolytes have been supplemented to prevent a circulatory collapse.
Rehydration with fluid and electrolytes is a sensible measure anyway, especially after vomiting and diarrhoea.
In life-threatening situations, plasma expanders should be given, i.e. infusions that increase the volume of the blood and remain in the circulation for a long time.
Cardiovascular symptoms may require further medical intervention: Atropine can be given if the heartbeat slows down, dopamine if the blood pressure drops.
You can find more information here:
http://www.dr-bernhard-peter.de/Apotheke/seite116.htm
Synonymised names:
Carangoides sexfasciatus (Quoy & Gaimard, 1825) (subsequent combination)
Carangus elacate Jordan & Evermann, 1903
Carangus marginatus Gill, 1863
Carangus rhabdotus Jenkins, 1903
Caranx belengerii Cuvier, 1833
Caranx butuanensis Seale, 1910
Caranx elacate (Jordan & Evermann, 1903) (synonym)
Caranx flavocoeruleus Temminck & Schlegel, 1844
Caranx forsteri Cuvier, 1833
Caranx fosteri Cuvier, 1833
Caranx marginatus (Gill, 1863)
Caranx oshimai Wakiya, 1924
Caranx paraspistes Richardson, 1848
Caranx peronii Cuvier, 1833
Caranx sexfaciatus Quoy & Gaimard, 1825 (misspelling)
Caranx sexfaciatus elacate (Jordan & Evermann, 1903)
Caranx sexfaciatus marginatus (Gill, 1863)
Caranx tapeinosoma Bleeker, 1856
Caranx thompsoni Seale, 1905
Caranx xanthopygus Cuvier, 1833
