Symptom Classes of Chateau-Degat for a Patient with Acute Ciguatera Disease

 

Patient selection: ciguatera poisoning

 

Symptom classes during acute poisoning:

(1) gastrointestinal

(2) neurologic

(3) cardiac

(4) systemic

 

Gastrointestinal symptoms:

(1) nausea and vomiting

(2) diarrhea

 

Neurologic symptoms:

(1) paresthesias

(2) difficulty with cold perception

(3) headache

(4) dental pain

(5) metallic taste

(6) vertigo

(7) instability

(8) lack of coordination

(9) pruritis

(10) hypersalivation

 

Cardiac symptoms:

(1) bradycardia or tachycardia (pulse <= 60 or >= 90)

(2) hypotension or hypertension (systolic blood pressure <= 100 mm Hg or blood pressure > 140/90)

 

Systemic symptoms:

(1) asthenia

(2) myalgia

(3) arthralgias

(4) dysuria

(5) fever

(6) nuchal rigidity

(7) respiratory distress

(8) chills

(9) sweating

Number of Classes Experienced	Index of Variability of Symptoms
1	low
2	medium
3 or 4	high

 

The higher the index of variability the more extended the illness.