Ciguatera Fish Poisoning: Treatment,Prevention and Management

Ciguatera Fish Poisoning (CFP) is the most frequently reported seafood-toxin illness in the world, and it causes substantial physical and functional impact. It produces a myriad of gastrointestinal, neurologic and/or cardiovascular symptoms which last days to weeks, or even months. Although there are reports of symptom amelioration with some interventions (e.g. IV mannitol), the appropriate treatment for CFP remains unclear to many physicians. We review the literature on the treatments for CFP, including randomized controlled studies and anecdotal reports. The article is intended to clarify treatment options, and provide information about management and prevention of CFP, for emergency room physicians, poison control information providers, other health care providers, and patients.     

Biomass and Defoliation Tolerance of 12 Populations of Pseudoroegneria spicata at Two Densities

Pseudoroegneria spicata(Pursh.) A. Löve is an important native grass of the rangelands of the Intermountain West, USA and is widely used in this region for restoration applications. High grazing preference, together with high grazing sensitivity, has reduced the abundance of this species, indicating the need for the development of grazing-tolerant plant materials. While a genotype may be defoliation tolerant at low density, e.g., in an experimental setting, an effective grazing-tolerant genotype must also display this trait at higher densities resembling those found in natural and restoration settings. We compared 12 restoration plant materials for response to spring-defoliation at high (25 plants · m^?2) and low (8 plants · m^?2) plant densities in a field experiment. Two consecutive years of spring-defoliation reduced shoot biomass 19% compared to the nonspring-defoliated control, and this reduction was similar for the two densities examined. Two populations, P-3 and Acc:238, were able to compensate for shoot biomass after 2 yr of spring-defoliation, while the remaining 10 populations undercompensated, as is commonly reported for cool-season grasses in arid and semiarid regions. While the association between control and spring-defoliated shoot biomass was marginally positive (R² = 0.26; P < 0.10), we found a stronger negative association (R² = 0.36; P < 0.05) between spring-defoliation tolerance and control shoot-biomass production. This suggests a possible trade-off between growth and defoliation tolerance (calculated as percentage of control biomass) among populations. Of the four commercially available plant materials in our study, the more recent prevariety germplasm, P-7, exhibited higher control shoot biomass and higher spring-defoliation tolerance than the older cultivars, Whitmar and Goldar. Anatone germplasm was intermediate but not statistically different from these other plant materials for these two traits.     

Antigen-specific proliferation and activation of peripheral blood mononuclear cells from Mycobacterium bovis-infected reindeer

To evaluate antigen-specific proliferative and activation-associated responses from Mycobacterium bovis-infected reindeer, blood mononuclear cells from M. bovis- (n = 10) and non-infected reindeer (n = 4) were stimulated with a recombinant early secretory antigenic target-6 and culture filtrate protein-10 fusion protein (rESAT6:CFP10), M. bovis purified protein derivative, pokeweed mitogen, or medium alone and evaluated by flow cytometry using dye tracker analysis and cell surface marker staining. gammadelta TCR+ and CD8+ cells, but not CD4+ cells, from M. bovis-infected reindeer proliferated in response to specific antigen stimulation. Expression (i.e., mean fluorescence intensity) of CD44 was increased and CD62L decreased on proliferative as compared to non-proliferative fractions in antigen- and mitogen-stimulated cultures. In response rESAT6:CFP10 stimulation, MHC II fluorescence intensity was increased on CD4+, gammadelta TCR+, CD172a+, and IgM+ cells from infected reindeer as compared to that of non-stimulated cells from the same reindeer. Recombinant ESAT6:CFP10 stimulation also induced expansion of a CD172a+, MHC II+ population within mononuclear cell cultures from M. bovis-infected reindeer. Despite a moderate challenge dose and extended duration of incubation, experimental infection of reindeer was generally limited to lymph nodes draining the inoculation site, suggestive of host resistance to progressive disease. Present in vitro findings, therefore, may be predictive of host responses by reindeer that limit progression to disseminated disease.