For a list of the major food bugs and toxins and the symptoms they cause, see "The Dirty Dozen." THE DIRTY DOZEN Bug Major Symptoms Campylobacter diarrhea
(can be bloody), fever, abdominal (bacteria) pain, nausea, headache, muscle pain Ciguatera within 2 to 6 hours: abdominal pain, diarrhea, (toxin) general pain and weakness, nausea, tempera- ture reversal (hot things feel cold and cold things feel hot), tingling, vomiting within 2 to 5 days: slow heartbeat, low blood pressure Clostridium vomiting, diarrhea, blurred vision, double botulinum vision, difficulty swallowing, muscle weakness (bacteria) that spreads from the upper to the lower body Cyclospora fatigue, frequent protracted bouts of (parasite) diarrhea E.
MEET THE BUGS Possible Symptoms Name (from most to least common) Campylobacter diarrhea
(can be bloody), fever, abdominal (bacteria) pain, nausea, headache, muscle pain Ciguatera numbness, tingling, nausea, vomiting, (toxin) diarrhea, muscle pain, headache, temperature reversal (hot things feel cold and cold things feel hot), dizziness, muscular weakness, irregular heartbeat Clostridium marked fatigue; weakness; dizziness; double botulinum vision; difficulty speaking, swallowing, and (bacteria) breathing; abdominal distention Cyclospora watery diarrhea, loss of appetite, weight (parasite) loss, cramps, nausea, vomiting, muscle aches, low-grade fever, extreme fatigue E.