@article{fdi:010073120, title = {{T}ectus niloticus ({T}egulidae, {G}astropod) as a novel vector of ciguatera poisoning : clinical characterization and follow-up of a mass poisoning event in {N}uku {H}iva {I}sland ({F}rench {P}olynesia)}, author = {{G}atti, {C}. {M}. {I}. and {L}onati, {D}. and {D}arius, {H}. {T}. and {Z}ancan, {A}. and {R}ou{\'e}, {M}{\'e}lanie and {S}chicchi, {A}. and {L}ocatelli, {C}. {A}. and {C}hinain, {M}.}, editor = {}, language = {{ENG}}, abstract = {{C}iguatera fish poisoning ({CFP}) is the most prevalent non-bacterial food-borne form of poisoning in {F}rench {P}olynesia, which results from the consumption of coral reef fish naturally contaminated with ciguatoxins produced by dinoflagellates in the genus {G}ambierdiscus. {S}ince the early 2000s, this {F}rench territory has also witnessed the emergence of atypical forms of ciguatera, known as ciguatera shellfish poisoning ({CSP}), associated with the consumption of marine invertebrates. {I}n {J}une 2014, nine tourists simultaneously developed a major and persistent poisoning syndrome following the consumption of the gastropod {T}ectus niloticus collected in {A}naho, a secluded bay of {N}uku {H}iva {I}sland ({M}arquesas {A}rchipelago, {F}rench {P}olynesia). {T}he unusual nature and severity of this event prompted a multidisciplinary investigation in order to characterize the etiology and document the short/long-term health consequences of this mass-poisoning event. {T}his paper presents the results of clinical investigations based on hospital medical records, medical follow-up conducted six and 20 months post-poisoning, including a case description. {T}his study is the first to describe the medical signature of {T}. niloticus poisoning in {F}rench {P}olynesia and contributed to alerting local authorities about the potential health hazards associated with the consumption of this gastropod, which is highly prized by local communities in {P}acific island countries and territories.}, keywords = {ciguatera poisoning ; {T}ectus niloticus ; ciguatoxins ; health hazards ; clinical follow-up ; neurological exploration ; {F}rench {P}olynesia ; {POLYNESIE} {FRANCAISE} ; {NUKU} {HIVA}}, booktitle = {}, journal = {{T}oxins}, volume = {10}, numero = {3}, pages = {art. 102 [16 p.]}, ISSN = {2072-6651}, year = {2018}, DOI = {10.3390/toxins10030102}, URL = {https://www.documentation.ird.fr/hor/fdi:010073120}, }