Ciguatera Fish Poisoning (Ciguatera Toxin): Ciguatera is a type of food poisoning caused by the ciguatera toxinfound in large reef fish (most commonly in the Caribbean). Symptoms include vomiting, nausea, diarrhea, abdominal pain, muscle pain, numbness, tingling, dizziness, and vertigo. Ciguatera toxin fish poisoning may be a medical emergency and the poison control center, or emergency department should be consulted. The National Poison Control Center hotline in the United States is 1-800-222-1222.