FN Archimer Export Format PT J TI Tectus niloticus (Tegulidae, Gastropod) as a Novel Vector of Ciguatera Poisoning: Clinical Characterization and Follow-Up of a Mass Poisoning Event in Nuku Hiva Island (French Polynesia) BT AF GATTI, Clemence Mahana Iti LONATI, Davide DARIUS, Helene Taiana ZANCAN, Arturo ROUE, Melanie SCHICCHI, Azzurra LOCATELLI, Carlo Alessandro CHINAIN, Mireille AS 1:1;2:2,3,4;3:1;4:5;5:6;6:2,3,4;7:2,3,4;8:1; FF 1:;2:;3:;4:;5:;6:;7:;8:; C1 ILM, EIO, UMR 241, Lab Tox Microalgae, POB 30, F-98713 Tahiti, French Polynesi, France. IRCCS, Maugeri Hosp, Ist Clin Sci Maugeri, Poison Control Ctr, I-27100 Pavia, Italy. IRCCS, Maugeri Hosp, Ist Clin Sci Maugeri, Natl Toxicol Informat Ctr,Toxicol Unit, I-27100 Pavia, Italy. Univ Pavia, I-27100 Pavia, Italy. IRCCS, Maugeri Hosp, Ist Clin Sci Maugeri, Subacute Care Unit, I-27100 Pavia, Italy. IRD, EIO, UMR 241, POB 529, F-98713 Tahiti, French Polynesi, France. C2 INST LOUIS MALARDE, FRANCE IRCCS, ITALY IRCCS, ITALY UNIV PAVIA, ITALY IRCCS, ITALY IRD, FRANCE UM EIO IN DOAJ IF 3.895 TC 26 UR https://archimer.ifremer.fr/doc/00660/77228/78664.pdf LA English DT Article DE ;ciguatera poisoning;Tectus niloticus;ciguatoxins;health hazards;clinical follow-up;neurological exploration;French Polynesia AB Ciguatera fish poisoning (CFP) is the most prevalent non-bacterial food-borne form of poisoning in French Polynesia, which results from the consumption of coral reef fish naturally contaminated with ciguatoxins produced by dinoflagellates in the genus Gambierdiscus. Since the early 2000s, this French territory has also witnessed the emergence of atypical forms of ciguatera, known as ciguatera shellfish poisoning (CSP), associated with the consumption of marine invertebrates. In June 2014, nine tourists simultaneously developed a major and persistent poisoning syndrome following the consumption of the gastropod Tectus niloticus collected in Anaho, a secluded bay of Nuku Hiva Island (Marquesas Archipelago, French Polynesia). The unusual nature and severity of this event prompted a multidisciplinary investigation in order to characterize the etiology and document the short/long-term health consequences of this mass-poisoning event. This paper presents the results of clinical investigations based on hospital medical records, medical follow-up conducted six and 20 months post-poisoning, including a case description. This study is the first to describe the medical signature of T. niloticus poisoning in French Polynesia and contributed to alerting local authorities about the potential health hazards associated with the consumption of this gastropod, which is highly prized by local communities in Pacific island countries and territories. PY 2018 PD MAR SO Toxins SN 2072-6651 PU Mdpi VL 10 IS 3 UT 000428565500010 DI 10.3390/toxins10030102 ID 77228 ER EF