Erschienen in:
01.07.2012 | Clinical Practice: Clinical Vignettes
A Case of Histamine Fish Poisoning in a Young Atopic Woman
verfasst von:
Ben J. Wilson, MD, Richard J. Musto, MD, William A. Ghali, MD, MPH
Erschienen in:
Journal of General Internal Medicine
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Ausgabe 7/2012
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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.