“…In the reports reviewed here, ciguatera was clinically diagnosed, but the criteria used were rarely described [ 30 , 31 , 34 , 45 ]. Where the fish remnants were available for testing, the presence of CTX was confirmed using mouse bioassay [ 23 , 24 , 25 , 27 , 38 , 39 , 40 , 41 , 47 ], LC–MS [ 23 , 25 , 30 , 47 ] or other methods [ 26 , 31 , 34 ]. In other reports ( Table 2 ), fish remnants were not analyzed or there was no information about laboratory confirmation.…”