A South Carolina couple caught a barracuda approximately 60 miles off the coast from Charleston, South Carolina, in August. Soon after eating the fish, both experienced diarrhea, and abdominal cramping. The man also experienced weakness, and tooth pain. The woman reported vomiting, slowed heartbeat, hypotension, dizziness, feelings of hot and cold in rapid succession, and burning feelings in her extremities. The man sought a physician's care, and the woman was hospitalized for 13 days. The cause of the illnesses was determined to be ciguatera poisoning. This ciguatoxin builds in fish when the fish has eaten the dinoflagellate, Gambierdiscus toxicus.