Alimentarna intoksikacija pomoraca ciquatoxinom

Ljubica Kronja


Aim: To describe cases of ciquatoxin in an epidemic aboard the ship. 
Methods: Based on surveys data and medical documentation, by descriptive method, alimentary intoxication in two patients as a part of the epidemic aboard a ship is described. 
Results: Epidemic occurred aboard the ship among all members of the crew after they had eaten fish (amberjack) caught while sailing outside the Gulf of Mexico. 21 seamen and one seaman's child were aboard the ship. 
Freshly caught fish was cooked and grilled and there were no changes in its colour, taste or smell. Everybody was exposed and everybody was ill. Shortest incubation was three, and the longest 18 hours after the fish had been consumed. Among 22 patients were two seamen from Šibenik who had difficult clinical features and were hospitalized upon the arrival in Croatia.
In both seamen, the illness started 3-4 hours after the meal, with spasmodic abdominal pain which lasted for several days accompanied by numerous watery stools (10-15 per day) through one week, with occasional vomiting. After this phase, general weakness, fatigue, shudder in the lips and all over the body, pains in the jaw, thorax, stomach and lower leg muscles, prickly and sore throat and tongue, difficulty swallowing, sudden change of heat sensation and reverse warm-cold sensation, metallic taste in the mouth, itching, pale skin, sight disorder, dysuria, heavy breathing, insomnia and loss of appetite occurred. These neurological symptoms lasted for several months.
Conclusion: To prevent poisoning, it is important to warn the seamen and tourists travelling to risk area where ciquatoxin poisoning occurs.

Ključne riječi

food poisoning; ciquatoxin; seamen; tourists

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Hrvatski časopis za javno zdravstvo, ISSN 1845-3082, Otvoreni pristup - autori zadržavaju autorsko pravo uz obavezu navođenja izvora u slučaju citiranja