Title
Mannitol Versus Supportive Care in Ciguatera Fish Poisoning
Mannitol Versus Supportive Care in Ciguatera Fish Poisoning: A Randomized Control Trial
Phase
Phase 3Lead Sponsor
University of South FloridaStudy Type
InterventionalStatus
Unknown statusIndication/Condition
CiguatoxinIntervention/Treatment
mannitol ...Study Participants
200Ciguatera poisoning, caused by the ingestion of ciguatoxin-containing fish, is a global public health concern. In the US, the vast majority of ciguatera poisonings occur in Florida, followed by Hawaii and California. Equipoise exists in the medical literature regarding the effectiveness of mannitol therapy in treatment of ciguatera poisoning. While there are many case reports attesting to its utility, the only randomized control trial (RCT) comparing mannitol therapy with supportive care failed to show any significant benefit from mannitol treatment for a variety of clinical outcomes. Investigators therefore propose a second, larger RCT to test this question.
Patients will receive supportive care measures.
Inclusion Criteria: History consistent with ciguatera poisoning Exclusion Criteria: Minors pregnant patients those unable to give consent severe congestive heart failure or renal failure