Evil tuna? – the cautionary tale of Scombroid

4 Feb

QUICK HITS:

-Commonly occurs after ingestion of fish from the Scombridae family (tuna, mackerel)

-Other fish associated with this type of food poisoning include mahi-mahi, herring, blue fish, sardines

When fish is stored in improper temperatures, bacteria metabolize histidine into histamine

 

Symptoms:

                -Can occur 30 minutes up to 24 hours after ingestion

                –Flushing, headache, abdominal cramping, diarrhea, and vomiting

                -Symptoms usually last 6-8 hours

 

Treatment:

                –Antihistamines (H1 and H2 blockers)

 

Submitted by Joey Grover.

 

Sources: Tintinalli’s Emergency Medicine:  7th Edition; Rosen’s Emergency Medicine:  7th Edition; picture

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