Despite there is a growing interest in studying the presence and effects of microplastics (MP) in fishes and other aquatic species, knowledge is still limited in tropical areas. In this study, we examined the presence of MP in the gastrointestinal content of 30 filter feeders of thread herring, Opisthonema complex (Clupeiformes: Clupeidae) from the Central Pacific coast of Costa Rica. We detected the presence of MP in 100% of the individuals with an average of 36.7 pieces per fish, of which 79.5% were fibers and 20.5% particles. To our knowledge, this is the first study in Costa Rica that demonstrates the presence of MP in planktivorous fishes. The effects of microplastics ingestion by O. libertate and its transit through aquatic food webs should be studied in greater detail, with greater number of sampling points at different times of the year. However, our work confirms that contamination by microplastics is having direct effects on the marine life of Costa Rica.
Neuromyopathy is a rare side effect of chronic colchicine therapy, especially without renal impairment. Drugs interacting with colchicine metabolism through CYP3A4 can accelerate accumulation and toxicity. We describe a case of an interaction between atorvastatin, clarithromycin and colchicine resulting in acute neuromyopathy.
LEARNING POINTS
Colchicine has a narrow therapeutic window, and therefore, often produces side effects.
Special caution should be adopted if patients with renal disease and concomitant medications are given colchicine.
Before prescribing colchicine, the clinical history, including previous medications and conditions, should be carefully considered.
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