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Severe ciguatera poisoning in Madagascar: a case report
G G Habermehl1, H C Krebs, P Rasoanaivo
1Department of Chemistry, School of Veterinary Medicine (University), Hannover, Germany.
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%.