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- Title
A Case of Histamine Fish Poisoning in a Young Atopic Woman.
- Authors
Wilson, Ben; Musto, Richard; Ghali, William
- Abstract
Histamine fish poisoning, also known as scombroid poisoning, is a histamine toxicity syndrome that results from eating specific types of spoiled fish. Although typically a benign syndrome, characterized by self-limited flushing, headache, and gastrointestinal symptoms, we describe a case unique in its severity and as a precipitant of an asthma exacerbation. A 25-year-old woman presented to the emergency department (ED) with one hour of tongue and face swelling, an erythematous pruritic rash, and dyspnea with wheezing after consuming a tuna sandwich. She developed abdominal pain, diarrhea and hypotension in the ED requiring admission to the hospital. A diagnosis of histamine fish poisoning was made and the patient was treated supportively and discharged within 24 hours, but was readmitted within 3 hours due to an asthma exacerbation. Her course was complicated by recurrent admissions for asthma exacerbations.
- Subjects
CASE studies; HISTAMINE; PISCICIDES; HYPOTENSION; DYSPNEA
- Publication
JGIM: Journal of General Internal Medicine, 2012, Vol 27, Issue 7, p878
- ISSN
0884-8734
- Publication type
Article
- DOI
10.1007/s11606-012-1996-6