Any experience with Ciguatera?

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Any experience with Ciguatera?

Post by Jack on Mon May 04, 2009 8:28 pm

Just took the case of a patient with Ciguatera (Ciguatera is a foodborne illness poisoning in humans caused by eating marine species whose flesh is contaminated with a toxin known as ciguatoxin, which is present in many microorganisms (particularly the micro-alga Gambierdiscus toxicus) living in tropical waters.)

Helluva case ... Lachesis fit so bloody well!!!! ... but she had the strong symptom of vertigo amel with the eyes closed. Lach is not in the rubric and actually is a 3 for vertigo < eyes closed! Mad

Ended up giving Aconite. Surprised Hoping for good results.

Jack
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Re: Any experience with Ciguatera?

Post by Glen on Wed May 06, 2009 8:11 am

Hey, Jack,

Never even heard of Ciguatera. Sounds like a good reason for ruling out Lach.

Good luck,

G
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Re: Any experience with Ciguatera?

Post by Andrea on Thu May 07, 2009 4:23 pm

Jack, when you get word on this case, I would love to hear the outcome Smile
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Re: Any experience with Ciguatera?

Post by Jack on Thu May 14, 2009 2:53 pm

Just received my patient's 10 day follow-up phone call.

Since a split dose of Aconite 200C in water...

dizziness not as severe
not as photophobic (dizziness, headaches)
nausea has disappeared
chest pains (squeezing pain) resolved
sense of exhaustion with dizziness is much improved.
her words " for some reason I'm able to cope much better with the remaining dizziness. It doesn't overwhelm me."

Asked her to redose once and if condition doesn't improve noticeably in 5 days redose again.

Will see her for a F/U in first week of June.
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Re: Any experience with Ciguatera?

Post by Andrea on Thu May 14, 2009 3:39 pm

Hi Jack

This is beautiful!

Question: why did you ask her to re-dose when her condition has already improved significantly...I am not sure i understand.

Andrea
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Re: Any experience with Ciguatera?

Post by Jack on Thu May 14, 2009 10:00 pm

Hi Andrea,

Her improvement has stalled. No noticeable change in the remaining major sx of dizziness. She said she has been under a lot of stress at work lately. Perhaps her circumstances are "distracting" her vital force and she may need to redose.
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Re: Any experience with Ciguatera?

Post by Andrea on Fri May 15, 2009 11:45 am

Thanks, Jack. Wasn't clear on the stall there...makes perfect sense. Smile
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