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Severe ciguatera poisoning in Madagascar: A case report
Authors:Gerhard G Habermehl  Hans C Krebs  Philippe Rasoanaivo  Angeline Ramialiharisoa
Institution:

1 Department of Chemistry, School of Veterinary Medicine (University), D-30173, Hannover, Germany

2 Institut Malgache de Recherches Appliquées, B.P. 3833, 101, Antananarivo, Madagascar

3 Service de Réanimation Médicale et de Toxicologie Clinique, Hôpital J.R.A. Ampefilcha, B.P. 4150, 101, Antananarivo, Madagascar

Abstract:In a single outbreak on the East coast of Madagascar, more than 500 people, 98 of whom died, were poisoned by the flesh of a shark, Carcharhinus amboinensis. From clinical symptoms it can be concluded that this poisoning is due to ciguatera toxins. It is the first case of a severe outbreak caused by a shark, and it is the first case with a mortality rate of 20%.
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