Insidious effects of a toxic estuarine dinoflagellate on fish survival and human health
Abstract
The estuarine dinoflagellate Pfiesteria piscicida gen. et sp. nov. produces exotoxin(s) that can be absorbed from water or fine aerosols. Culture filtrate (0.22 microns porosity filters, > 250 toxic flagellated cells/ml) induces formation of open ulcerative sores, hemorrhaging, and death of finfish and shellfish. Human exposure to aerosols from ichthyotoxic cultures (> or = 2000 cells/ml) has been associated with narcosis, respiratory distress with asthma-like symptoms, severe stomach cramping, nausea, vomiting, and eye irritation with reddening and blurred vision (hours to days); autonomic nervous system dysfunction [localized sweating, erratic heart beat (weeks)]; central nervous system dysfunction [sudden rages and personality change (hours to days), and reversible cognitive impairment and short-term memory loss (weeks)]; and chronic effects including asthma-like symptoms, exercise fatigue, and sensory symptoms (tingling or numbness in lips, hands, and feet; months to years). Elevated hepatic enzyme levels and high phosphorus excretion in one human exposure suggested hepatic and renal dysfunction (weeks); easy infection and low counts of several T-cell types may indicate immune system suppression (months to years). Pfiesteria piscicida is euryhaline and eurythermal, and in bioassays a nontoxic flagellated stage has increased under P enrichment (> or = 100 micrograms SRP/L), suggesting a stimulatory role of nutrients. Pfiesteria-like dinoflagellates have been tracked to fish kill sites in eutrophic estuaries from Delaware Bay through the Gulf Coast. Our data point to a critical need to characterize their chronic effects on human health as well as fish recruitment, disease resistance, and survival.
Part of CIRS Nexus · Curated by Lauren Lowenstein, The Biotoxin Lady
Symptom Clusters
Cited By (14)
- Learning and memory difficulties after environmental exposure to waterways containing toxin-producing Pfiesteria or Pfiesteria-like dinoflagellatesThe Lancet · 1998
- Chronic biotoxin-associated illness: Multiple-system symptoms, a vision deficit, and effective treatmentNeurotoxicology and Teratology · 2005
- A time-series study of sick building syndrome: chronic, biotoxin-associated illness from exposure to water-damaged buildingsNeurotoxicology and Teratology · 2005
- Possible estuary-associated syndrome: symptoms, vision, and treatment.Environmental Health Perspectives · 2001
- Estuary-associated syndrome in North Carolina: an occupational prevalence study.Environmental Health Perspectives · 2001
- HUMAN VISUAL FUNCTION IN THE NORTH CAROLINA CLINICAL STUDYON POSSIBLE ESTUARY-ASSOCIATED SYNDROMEJournal of Toxicology and Environmental Health · 2001
- A Review of Harmful Algal Blooms: Causes, Effects, Monitoring, and Prevention MethodsWater · 2025
- Neurobehavioral effects of harmful algal bloom (HAB) toxins: a critical reviewJournal of the International Neuropsychological Society · 2005
- Residential and Recreational Acquisition of Possible Estuary-Associated Syndrome: A New Approach to Successful Diagnosis and TreatmentEnvironmental Health Perspectives · 2001
- Persisting learning deficits in rats after exposure to Pfiesteria piscicida.Environmental Health Perspectives · 1997
- Rapid neurobehavioral analysis of Pfiesteria piscicida effects in juvenile and adult ratsNeurotoxicology and Teratology · 2000
- Marine Neurotoxins: Envenomations and contact toxinsCurrent Treatment Options in Neurology · 2004
- Cohort studies of health effects among people exposed to estuarine waters: North Carolina, Virginia, and MarylandEnvironmental Health Perspectives · 2001
- Prospects on behavioral studies of marine and freshwater toxinsNeurotoxicology and Teratology · 2005
Related Papers
- Residential and Recreational Acquisition of Possible Estuary-Associated Syndrome: A New Approach to Successful Diagnosis and TreatmentEnvironmental Health Perspectives · 2001 · 7 shared tags
- Estuary-associated syndrome in North Carolina: an occupational prevalence study.Environmental Health Perspectives · 2001 · 7 shared tags
- Learning and memory difficulties after environmental exposure to waterways containing toxin-producing Pfiesteria or Pfiesteria-like dinoflagellatesThe Lancet · 1998 · 7 shared tags
- Introduction to Chronic Inflammatory Response Syndrome (CIRS)2023 · 6 shared tags
- Chronic biotoxin-associated illness: Multiple-system symptoms, a vision deficit, and effective treatmentNeurotoxicology and Teratology · 2005 · 6 shared tags
- Diagnosis of Pfiesteria-human illness syndromeMaryland medical journal · 1997 · 6 shared tags