Abstract
An association between human illness and exposure to Pfiesteria was first observed among laboratory personnel working with the microorganism. In 1997, in the setting of Pfiesteria activity on the Pocomoke River in Maryland, difficulties with learning and memory were epidemiologically associated with high-level exposure to waterways in which the organism was known to be present. In the Maryland studies, neurocognitive function of affected persons returned to within normal ranges within a period of 3-6 months. Persons with the most severe neurocognitive deficits were significantly more likely to have skin lesions characterized on biopsy by evidence of a toxic/allergic inflammatory reaction. Acute high-level exposures to waterways where Pfiesteria has been identified have been linked with eye and respiratory irritation, headache, and gastrointestinal complaints. Recent data, collected using molecular techniques, suggest that the organism is present in multiple locations in the Chesapeake Bay environment; available data are insufficient to comment on the possible cumulative health impact of chronic low-level environmental exposure to Pfiesteria.
Full Text
The Full Text of this article is available as a PDF (545.4 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Barber D., Hunt J., Ehrich M. Inhibition of calcium-stimulated ATPase in the hen brain P2 synaptosomal fraction by organophosphorus esters: relevance to delayed neuropathy. J Toxicol Environ Health A. 2001 May 25;63(2):101–113. doi: 10.1080/15287390151126423. [DOI] [PubMed] [Google Scholar]
- Burkholder J. M., Noga E. J., Hobbs C. H., Glasgow H. B., Jr, Smith S. A. New 'phantom' dinoflagellate is the causative agent of major estuarine fish kills. Nature. 1992 Jul 30;358(6385):407–410. doi: 10.1038/358407a0. [DOI] [PubMed] [Google Scholar]
- El-Nabawi A., Quesenberry M., Saito K., Silbergeld E., Vasta G., Eldefrawi A. The N-methyl-D-aspartate neurotransmitter receptor is a mammalian brain target for the dinoflagellate Pfiesteria piscicida toxin. Toxicol Appl Pharmacol. 2000 Nov 15;169(1):84–93. doi: 10.1006/taap.2000.9042. [DOI] [PubMed] [Google Scholar]
- Glasgow H. B., Jr, Burkholder J. M., Schmechel D. E., Tester P. A., Rublee P. A. Insidious effects of a toxic estuarine dinoflagellate on fish survival and human health. J Toxicol Environ Health. 1995 Dec;46(4):501–522. doi: 10.1080/15287399509532051. [DOI] [PubMed] [Google Scholar]
- Golub J. E., Haselow D. T., Hageman J. C., Lopez A. S., Oldach D. W., Grattan L. M., Perl T. M. Pfiesteria in Maryland: preliminary epidemiologic findings. Md Med J. 1998 May;47(3):137–143. [PubMed] [Google Scholar]
- Grattan L. M., Oldach D., Perl T. M., Lowitt M. H., Matuszak D. L., Dickson C., Parrott C., Shoemaker R. C., Kauffman C. L., Wasserman M. P. Learning and memory difficulties after environmental exposure to waterways containing toxin-producing Pfiesteria or Pfiesteria-like dinoflagellates. Lancet. 1998 Aug 15;352(9127):532–539. doi: 10.1016/S0140-6736(98)02132-1. [DOI] [PubMed] [Google Scholar]
- Greenberg D. R., Tracy J. K., Grattan L. M. A critical review of the Pfiesteria hysteria hypothesis. Md Med J. 1998 May;47(3):133–136. [PubMed] [Google Scholar]
- Law M. Differential diagnosis of ulcerative lesions in fish. Environ Health Perspect. 2001 Oct;109 (Suppl 5):681–686. doi: 10.1289/ehp.01109s5681. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Levin E. D. A rat model of the cognitive impairment from Pfiesteria piscicida exposure. Environ Health Perspect. 2001 Oct;109 (Suppl 5):757–763. doi: 10.1289/ehp.01109s5757. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Levin E. D., Rezvani A. H., Christopher N. C., Glasgow H. B., Jr, Deamer-Melia N. J., Burkholder J. M., Moser V. C., Jensen K. Rapid neurobehavioral analysis of Pfiesteria piscicida effects in juvenile and adult rats. Neurotoxicol Teratol. 2000 Jul-Aug;22(4):533–540. doi: 10.1016/s0892-0362(00)00080-5. [DOI] [PubMed] [Google Scholar]
- Levin E. D., Schmechel D. E., Burkholder J. B., Deamer-Melia N. J., Moser V. C., Harry G. J. Persisting learning deficits in rats after exposure to Pfiesteria piscicida. Environ Health Perspect. 1997 Dec;105(12):1320–1325. doi: 10.1289/ehp.971051320. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lowitt M. H., Kauffman C. L. Pfiesteria and the skin: a practical update for the clinician. Md Med J. 1998 May;47(3):124–126. [PubMed] [Google Scholar]
- Music S. I., Howell J. T., Brumback C. L. Red tide. Its public health implications. JFMA. 1973 Nov;60(11):27–29. [PubMed] [Google Scholar]
- Schmechel D. E., Koltai D. C. Potential human health effects associated with laboratory exposures to Pfiesteria piscicida. Environ Health Perspect. 2001 Oct;109 (Suppl 5):775–779. doi: 10.1289/ehp.01109s5775. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shoemaker R. C. Diagnosis of Pfiesteria-human illness syndrome. Md Med J. 1997 Nov-Dec;46(10):521–523. [PubMed] [Google Scholar]
- Shoemaker R. C., Hudnell H. K. Possible estuary-associated syndrome: symptoms, vision, and treatment. Environ Health Perspect. 2001 May;109(5):539–545. doi: 10.1289/ehp.01109539. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Swinker M., Koltai D., Wilkins J., Hudnell K., Hall C., Darcey D., Robertson K., Schmechel D., Stopford W., Music S. Estuary-associated syndrome in North Carolina: an occupational prevalence study. Environ Health Perspect. 2001 Jan;109(1):21–26. doi: 10.1289/ehp.0110921. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Tang Y. P., Shimizu E., Dube G. R., Rampon C., Kerchner G. A., Zhuo M., Liu G., Tsien J. Z. Genetic enhancement of learning and memory in mice. Nature. 1999 Sep 2;401(6748):63–69. doi: 10.1038/43432. [DOI] [PubMed] [Google Scholar]
- Thompson S. M. Synaptic plasticity: Building memories to last. Curr Biol. 2000 Mar 23;10(6):R218–R221. doi: 10.1016/s0960-9822(00)00370-5. [DOI] [PubMed] [Google Scholar]