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[Febrile ciguatera with corpus callosum involvment]
A Martins-Bexiga1, F Franconieri1, E Oehler1
1Service de médecine interne et polyvalente, centre hospitalier de Polynésie française, 98713 Pirae, Tahiti, French Polynesia.
Introduction:
Ciguatera is a food poisoning caused by marine organisms and has a polymoprhic clinic. Differential diagnoses need to be eliminated.
Observation:
A patient was hospitalized for a febrile syndrome a few days after the appearance of clinical signs suggestive of ciguatera after consuming lagoon fish. He also presented with central neurological signs and brain MRI revealed a lesion of the corpus callosum. A skin infection linked to the scratching lesions was the cause of this febrile state and a diagnosis of CLOCCS was made based on the lesions on MRI.
Conclusion:
A central neurological involvement in ciguatera is possible but rare, CLOCCS may be one of them. On the other hand, a febrile syndrome should lead to consider an differential diagnosis or a complication.
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