Sarcoidosis of the breast, central nervous system, and exocrine glands in a patient with sicca symptoms.

Abstract

REPORTSinfusing 0.5 to 1.0 grams per kg of mannitol (10% or 20%) resulted in "significant" improvement in 5 (42%) and "dramatic" improvement in 3 (25%) of 12 patients with ciguatera fish poisoning.25There have been no controlled studies of any of these agents in ciguatera poisoning, and appropriate caution should be used in employing these therapies.Public health officials should be notified as soon as a case of ciguatera poisoning is suspected, as an epidemic may rap- idly unfold.Ciguatera poisoning is not specifically a report- able disease, but it is a food-borne illness.In California, physicians are required to report immediately by telephone when two or more cases or suspected cases of food-borne illness from separate households are suspected to have the same source of illness (title 17, California Code of Regula- tions, sections 2500, 2504, 2574).