Clinical findings of ciguatera fish poisoning by geographical region

Clinical features	Relative frequency
	Geographical region (Ocean)
	Caribbean	Atlantic	Pacific	Indian
Gastrointestinal
Diarrhea	+++	+++	++	+
Vomiting	++	+++	++	++
Abdominal pain	++	Not reported	++	+
Neurologic
Extremity paresthesia	++	++	+++	+++
Circumoral paresthesia	++	++	+++	+++
Temperature dysesthesia	++	Not reported	+++	++
Pruritus	++	++	+++	+
Dental pain or teeth feeling loose	+	Not reported	+	Not reported
Headache	++	++	++	+
Vertigo	++	++	++	Not reported
Myalgia or arthralgia	++	+++	+++	+
Weakness	+++	+	++	+++
Hallucinations	Not reported	Not reported	0/+	+
Giddiness	Not reported	Not reported	+	+
Cardiovascular
Bradycardia	Not reported	Not reported	+	Not reported
Hypertension	Not reported	Not reported	+	Not reported

* Estimates of relative frequencies are based upon reports from series with at least 100 patients.

Data from: Friedman MA, Fleming LE, Fernandez M, et al. Ciguatera fish poisoning: treatment, prevention and management. Mar Drugs 2008; 6:456.

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