You can get ciguatera (sig-wah-TARE-ah) poisoning by eating fish contaminated with toxins produced by tiny algae found around coral reefs. It can be difficult to tell if fish is contaminated as the toxins that cause ciguatera do not change the appearance, taste, or smell of the fish., Ciguatera is a toxin that is found in large reef fish such as the barracuda, red snapper, grouper and more. Symptoms include nausea, vomiting, abdominal pain, and may be a true emergency, Ciguatera is a type of food poisoning. The ciguatera toxin may be found in large reef fish, most commonly barracuda, grouper, red snapper, eel, amberjack, sea bass, and Spanish mackerel., Mannitol - Recommended by several experts for neurologic symptoms if given within 24-48 hours of onset [1]. However, no benefit over normal saline in RCT [2] Advise caution that patients should avoid consumption of similar fish for six months as it could trigger a recurrence., What is ciguatera fish poisoning (CFP)? CFP is a food poisoning illness caused by eating finfish contaminated with naturally-occurring toxins called “ciguatoxins”., Ciguatera fish poisoning is one of the most commonly reported seafood-related foodborne illnesses in the world. It occurs after eating fish contaminated with toxic levels of ciguatera, a neurotoxin that reduces the threshold of voltage-gated sodium channels in the nervous system..