Contribution of marine invertebrates
to Ciguatera poisoning : the case study
of French Polynesia
Reported as early as the 15th century
by explorers, ciguatera fish poisoning
(CFP) is the most prominent non-bacterial seafood poisoning worldwide.
Widespread in tropical and subtropical
regions, CFP results from the consumption of coral reef fish contaminated with
ciguatoxins (CTXs) produced by Gambierdiscus and Fukuyoa species. These
potent neurotoxins can pose a severe
health hazard causing gastrointestinal,
neurological and cardiovascular disorders, with cold allodynia being a typical
symptom of ciguatera.
Yet, other seafood products such as
several species of marine invertebrates
highly prized by many island communities in the Pacific region, have also been
episodically involved in ciguatera-like
poisoning incidents. Indeed, the first
mass poisoning outbreak ever documented in the literature following the ingestion of the giant clam Tridacna maxima occurred in 1964 in Bora Bora Island
(French Polynesia). This poisoning event
which affected a total of 33 patients who
displayed mainly gastrointestinal and
neurological disorders, eventually led
to the death of 3 people [1]. Years later,
from 2001 onwards, similar incidents
were again reported from French Polynesia, but also New Caledonia and the
Cook Islands. Of note, besides the digestive and neurological manifestations
typically evocative of CFP, patients displayed additional symptoms, such as the
rapid onset of the disease, an unusual severity of symptoms including paralysis
in some patients, and a rapid burning of
their mouth and tongue [2, 3]. Additional poisoning cases following the ingestion of sea urchins, i.e. Tripneustes esculentus and Tripneustes gratilla, have also
been described in the West Indies [4]
and French Polynesia [5, 6], respectively,
while other marine invertebrates such
as the big blue octopus Octopus scyanea, the nimble spray crab, Percnon spp.,
and the large worm shell Dendropoma
maxima have been involved in sporadic
poisoning events in the Cook Islands [2].
In addition, the lobsters Panulirus penicillatus and octopus from the Republic of
Kiribati [7] as well as two starfish from
Madeira waters, Ophidiaster ophidianus
and Marthasterias glacialis [8], have
been recently found to also bioaccumulate CTXs.
Since many of these edible marine
invertebrate species represent a valuable source of protein and revenue in
Pacific island countries and territories
(PICTs), it is therefore important to document these atypical forms of ciguatera
further. The following data describe 2
recent mass-poisoning events which
occurred in Anaho Bay (Nuku Hiva Island, Marquesas archipelago, Fig. 1) following the consumption of toxic specimens of Tectus niloticus, (gastropods)
and Tripneustes gratilla (echinoids)
in 2014 and 2015, respectively [9-11].
Regardless of the toxic seafood, all patients (9 tourists and 3 tourists, respectively) experienced gastrointestinal and
neurological disorders. Cardiovascular
symptoms were recorded only in patients that had ingested T. niloticus, a
likely explanation for this being that patients who consumed toxic sea urchins
delayed presenting at hospital, [10, 11].
In the case of the T. niloticus poisoning event, the unusual severity of both
gastrointestinal and neurological symptoms necessitated the hospitalization of
6 out of the 9 patients.
Unfortunately, in both cases, no food
remnants were available for confirmation analysis. Instead, field investigations were undertaken periodically in
the toxic area in order to survey the toxicity level in these 2 groups of marine
invertebrates and assess the identity
Fig. 1. Study site of Anaho Bay in Nuku Hiva Island, Marquesas Archipelago, French Polynesia
6
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Contribution of marine invertebrates to Ciguatera poisoning : the case study of French Polynesia Reported as early as the 15th century by explorers, ciguatera fish poisoning (CFP) is the most prominent non-bacterial seafood poisoning worldwide. Widespread in tropical and subtropical regions, CFP res
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