I will have a paper in the next issue of the MMW describing a case report of Ciguatera in Cienfuegos / Cuba. Seems to be a common phenomenon there but unfortunately there is nothing in the Cuba guide books so far.
The pathology is extremely interesting – sodium channel activation by P-CTX. I only wonder why there are no therapeutic attempts with long-lasting class Ia aNa channel blockers Chinidin, Procainamid, Ajmalin, Disopyramid, Propafenon, Prajmalin. Or valproate for CNS activity.