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Previous Volume 351:2020 November 4, 2004 Number 19 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In the Clinical Problem-Solving article by Christian and Detsky (July 1 issue),¹ ciguatera poisoning is considered as the cause of the patient's symptoms but is then ruled out — on the wrong basis. On learning that the implicated fish had been caught the day before its consumption and transported on ice and that no ciguatoxin-containing algae were in bloom at the time, the clinician concluded that "this new information rules out ciguatera poisoning." This statement implies that one or more of these factors removes ciguatera as a possible cause, but that is inaccurate. Ciguatera poisoning can result . . . [Full Text of this Article]

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