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Cases attending the emergency departments of the two public hospitals and the reports received by the regional health authority in charge of monitoring (ARS) were compiled. Two hundred and thirty-four cases of poisoning were observed, with a mean annual incidence of 1.47\/10,000 (95% CI): 1.29\u20131.66), i.e 5 times higher than the previously reported incidence (1996\u20132006). The main species described as being responsible for poisoning were fish from the <jats:italic>Carangidae<\/jats:italic> family (n\u2009=\u200947) (jack), followed by fish from the <jats:italic>Lutjanidae<\/jats:italic> family (n\u2009=\u200927) (snapper), <jats:italic>Serranidae<\/jats:italic> family (n\u2009=\u200915) (grouper), S<jats:italic>phyraenidae<\/jats:italic> family (n\u2009=\u200912) (barracuda), and <jats:italic>Mullidae<\/jats:italic> family (n\u2009=\u200912) (goatfish). One case of lionfish ciguatera was observed. 93.9% of patients experienced gastrointestinal symptoms, 76.0% presented neurological signs (mainly paresthesia, dysesthesia and pruritus) and 40.3% presented cardiovascular symptoms (bradycardia and\/or hypotension). A high frequency (61.4%) of hypothermia (body temperature &lt;36.5\u2009\u00b0C) was observed. This study reports for the first time the relatively high frequency of cardiac symptoms and low body temperature. The monitoring of ciguatera poisoning throughout the Caribbean region must be improved, notably after reef disturbance due to Irma and Maria major cyclones.<\/jats:p>","DOI":"10.1038\/s41598-018-21373-2","type":"journal-article","created":{"date-parts":[[2018,2,9]],"date-time":"2018-02-09T12:06:30Z","timestamp":1518177990000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Incidence and clinical characteristics of ciguatera fish poisoning in Guadeloupe (French West Indies) between 2013 and 2016: a retrospective cases-series"],"prefix":"10.1038","volume":"8","author":[{"given":"Denis","family":"Boucaud-Maitre","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Paul","family":"Vernoux","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"St\u00e9phane","family":"Pelczar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elise","family":"Daudens-Vaysse","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lyderic","family":"Aubert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvie","family":"Boa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serge","family":"Ferracci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Garnier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2018,2,15]]},"reference":[{"key":"21373_CR1","doi-asserted-by":"publisher","first-page":"456","DOI":"10.3390\/md6030456","volume":"6","author":"MA Friedman","year":"2008","unstructured":"Friedman, M. 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