A case of histamine fish poisoning in a young atopic woman.

Journal of General Internal Medicine
Ben J WilsonWilliam A Ghali

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.

References

Jan 1, 1986·Toxicon : Official Journal of the International Society on Toxinology·F E Russell, Z Maretić
May 7, 1998·Journal of Accident & Emergency Medicine·A F Brown
Feb 26, 2000·The New England Journal of Medicine·R BédryM C Paty
Feb 16, 2010·Toxicon : Official Journal of the International Society on Toxinology·James M Hungerford

❮ Previous
Next ❯

Citations

Apr 4, 2015·International Journal of Cardiology·M CucunatoAlessio Currò
Jul 3, 2015·Internal Medicine·Nicholas G KounisJohn Goudevenos
Mar 12, 2016·Clinical Chemistry and Laboratory Medicine : CCLM·Nicholas G Kounis
May 3, 2016·Actas dermo-sifiliográficas·O Guergué-Díaz de CerioJ Gardeazabal-García
Jun 11, 2016·Food Chemistry·Warlley P EvangelistaMaria Beatriz A Gloria
Dec 27, 2016·Acta Clinica Belgica·Ioanna Koniari, Nicholas G Kounis
Apr 29, 2021·BMJ Case Reports·Shalika Basnayake KatugahaPelayia Soto

❮ Previous
Next ❯

Related Concepts

Related Feeds

Asthma

This feed focuses in Asthma in which your airways narrow and swell. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.

Atopic Dermatitis

Atopic dermatitis is a chronic inflammatory genetically determined disease of the skin marked by increased ability to form reagin (IgE), with increased susceptibility to allergic rhinitis and asthma, and hereditary disposition to a lowered threshold for pruritus. Discover the latest research on atopic dermatitis here.

Related Papers

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
Gerry PredyStephen Jones
Undersea & Hyperbaric Medicine : Journal of the Undersea and Hyperbaric Medical Society, Inc
D A Guss
Annals of Emergency Medicine
J McInerneyE Jonas
© 2022 Meta ULC. All rights reserved