Consuming amberjack recreationally caught near Cay Sal in the Bahamas resulted in Ciguatera toxin poisoning in 5 adults and 1 child in February 2011. Three ill persons were residents of Monroe County, Florida and three ill persons lived in Miami-Dade County. In total 11 persons ate the fish. The mean portion size consumbed by ill persons was 7 ounces (range 4-12 ounces) whereas nonill persons consumed smaller portions (mean 2 ounces, range 1-4 ounces). Mean incubation was 8 hours (range 3-15 hours). All six ill persons experienced diarrhea and abdominal pain. Four persons experienced myalgia, arthralgia, numbness in the hands and feet and nausea. Three persons suffered from itching, headache and hot/cold reversal. Only two patients sought medical care. The FDA's Gulf Coast Seafood Laboratory confirmed the presence of Caribbean ciguatoxin-1 (C-CTX-1) in a leftover sample of fish.