@article{fdi:010090871, title = {{C}iguatera poisoning in {F}rench {P}olynesia : insights into the novel trends of an ancient disease}, author = {{C}hinain, {M}. and {G}atti, {C}.{M}. and {R}ou{\'e}, {M}{\'e}lanie and {D}arius, {H}.{T}.}, editor = {}, language = {{ENG}}, abstract = {{C}iguatera is a non-bacterial seafood poisoning highly prevalent in {F}rench {P}olynesia where it constitutes a major health issue and a major threat to food sustainability and food security for local populations. {C}iguatera results from the bioaccumulation in marine food webs of toxins known as ciguatoxins, originating from benthic dinoflagellates in the genera {G}ambierdiscus and {F}ukuyoa. {C}iguatera is characterized by a complex array of gastrointestinal, neurological and cardiovascular symptoms. {T}he effective management of patients is significantly hampered by the occurrence of atypical forms and/or chronic sequelae in some patients, and the lack of both a confirmatory diagnosis test and a specific antidote. {I}n addition, recent findings have outlined the implication of novel species of the causative organisms as well as new vectors, namely marine invertebrates, in ciguatera outbreaks. {A}nother novel trend relates to the geographical expansion of this disease to previously unaffected areas, not only in certain island groups of {F}rench {P}olynesia but also in temperate regions worldwide, as a likely consequence of the effects of climate change.}, keywords = {{POLYNESIE} {FRANCAISE} ; {PACIFIQUE} ; {ZONE} {TROPICALE} ; {BORA} {BORA} {ILE} ; {RAIVAVAE} {ILE} ; {NUKU} {HIVA} {ILE} ; {ANAHO} {BAIE} ; {KIRIBATI} {REPUBLIQUE} ; {COOK} {ILES} ; {RAPA} {ILE}}, booktitle = {}, journal = {{N}ew {M}icrobes and {N}ew {I}nfections}, volume = {31}, numero = {{C}}, pages = {100565 [6 ]}, ISSN = {2052-2975}, year = {2019}, DOI = {10.1016/j.nmni.2019.100565}, URL = {https://www.documentation.ird.fr/hor/fdi:010090871}, }