Definition: symptom constellation attributed to Pfeisteria piscicida exposure. CDC criteria require symptoms within 2 weeks of exposure to estuarine waters; memory loss or confusion; and/or three or more selected symptoms (headache, rash at water contact site, sensation of burning skin, URI symptoms, muscle cramps, and GI symptoms) that must (except for skin complaints) persist at least 2 weeks; absence of other more likely etiologies.
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