Scombroid - Revision history

Elcatracho: /* Background */

2021-01-18T20:51:47Z

Background

← Older revision		Revision as of 20:51, 18 January 2021
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	==Background==		==Background==
	*Caused by eating fish which have been improperly stored/refrigerated		*Caused by eating fish which have been improperly stored/refrigerated
	**Bacteria grow and ~~produce heat~~-~~stable toxin that causes histamine release when consumed~~<ref name="Craig">Craig SA, Zich DK: Gastroenteritis, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 7. St. Louis, Mosby, Inc., 2010, (Ch) 92:p 1211-1222</ref>		**Bacteria grow and convert histidine in fish via histidine decarboxylase to histamine and histamine-like substances responsible for symptoms<ref name="Craig">Craig SA, Zich DK: Gastroenteritis, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 7. St. Louis, Mosby, Inc., 2010, (Ch) 92:p 1211-1222</ref>
	**Patient may complain that the fish tasted like pepper, metallic, or bitter		**Patient may complain that the fish tasted like pepper, metallic, or bitter
	*Frequently misdiagnosed as seafood allergy		*Frequently misdiagnosed as seafood allergy

2021-01-15T21:30:01Z

Background

← Older revision		Revision as of 21:30, 15 January 2021
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	**Patient may complain that the fish tasted like pepper, metallic, or bitter		**Patient may complain that the fish tasted like pepper, metallic, or bitter
	*Frequently misdiagnosed as seafood allergy		*Frequently misdiagnosed as seafood allergy
			*Most common incidence in US is state of Hawaii, followed by Florida <ref>Nguyen T, Akhtar S. Gastroenteritis. In: Walls RM, Hockberger RS, Gausche-Hill M, et al., eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier Saunders; 2018:(Ch) 84:1129–1149.</ref>

	===Causes===		===Causes===

2019-11-16T14:45:24Z

2019-11-16T14:44:52Z

Clinical Features

← Older revision		Revision as of 14:44, 16 November 2019
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	==Clinical Features==		==Clinical Features==
			[[File:Hives2010.jpg\|thumb\|Urticarial rash]]
	*Symptoms generally start within one hour of ingestion, and usually resolves within 12 hours (if untreated)		*Symptoms generally start within one hour of ingestion, and usually resolves within 12 hours (if untreated)
	*Flushing, warmth, erythematous and urticarial [[rash]], [[palpitations]], [[dizziness]], [[diarrhea]], perioral burning, [[pruritus\|itching]], or edema		*Flushing, warmth, erythematous and urticarial [[rash]], [[palpitations]], [[dizziness]], [[diarrhea]], perioral burning, [[pruritus\|itching]], or edema

2019-09-28T21:43:18Z

Clinical Features

← Older revision		Revision as of 21:43, 28 September 2019
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	==Clinical Features==		==Clinical Features==
	*Symptoms generally start within one hour of ingestion, and usually resolves within 12 hours (if untreated)		*Symptoms generally start within one hour of ingestion, and usually resolves within 12 hours (if untreated)
	*Flushing, warmth, erythematous and urticarial [[rash]], [[palpitations]], [[dizziness]], [[diarrhea]], perioral burning, itching, or edema		*Flushing, warmth, erythematous and urticarial [[rash]], [[palpitations]], [[dizziness]], [[diarrhea]], perioral burning, [[pruritus\|itching]], or edema
	*May also see severe throbbing [[headache]], [[blurred vision]], [[tachycardia]], and [[respiratory distress]]		*May also see severe throbbing [[headache]], [[blurred vision]], [[tachycardia]], and [[respiratory distress]]

2019-09-28T01:26:07Z

← Older revision		Revision as of 01:26, 28 September 2019
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	==Clinical Features==		==Clinical Features==
	*Symptoms generally start within one hour of ingestion, and usually resolves within 12 hours (if untreated)		*Symptoms generally start within one hour of ingestion, and usually resolves within 12 hours (if untreated)
	*Flushing, warmth, erythematous and urticarial rash, palpitations, dizziness, diarrhea, perioral burning, itching, or edema		*Flushing, warmth, erythematous and urticarial [[rash]], [[palpitations]], [[dizziness]], [[diarrhea]], perioral burning, itching, or edema
	*May also see severe throbbing headache, blurred vision, tachycardia, and respiratory distress		*May also see severe throbbing [[headache]], [[blurred vision]], [[tachycardia]], and [[respiratory distress]]

	==Differential Diagnosis==		==Differential Diagnosis==

2019-08-28T17:15:30Z

Management

← Older revision		Revision as of 17:15, 28 August 2019
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	==Management==		==Management==
	*Antihistamines - give both H1 and H2 antagonists		*[[Antihistamines]] - give both H1 and H2 antagonists
	*Consider epinephrine, albuterol if symptoms of respiratory distress		*Consider [[epinephrine]], [[albuterol]] if symptoms of respiratory distress

	==Disposition==		==Disposition==

2019-08-25T12:56:33Z

Evaluation

← Older revision		Revision as of 12:56, 25 August 2019
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	==Evaluation==		==Evaluation==
	*Generally clinical diagnosis		*Generally clinical diagnosis
			*Consider if symptoms present in multiple patients who ate same fish

	==Management==		==Management==
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	==Disposition==		==Disposition==
			*Typically see a prompt response to treatment with antihistamines
	*Generally may be discharged		*Generally may be discharged

2018-10-23T22:59:23Z

Background

@@ Line 3: / Line 3: @@
 **Bacteria grow and produce heat-stable toxin that causes histamine release when consumed<ref name="Craig">Craig SA, Zich DK: Gastroenteritis, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 7. St. Louis, Mosby, Inc., 2010, (Ch) 92:p 1211-1222</ref>
 **Patient may complain that the fish tasted like pepper, metallic, or bitter
 *Frequently misdiagnosed as seafood allergy
 ==Clinical Features==

2018-10-22T03:34:32Z

Clinical Features

← Older revision		Revision as of 03:34, 22 October 2018
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	==Clinical Features==		==Clinical Features==
	*Symptoms generally start within one hour of ingestion, and usually resolves within 12 hours (if untreated)		*Symptoms generally start within one hour of ingestion, and usually resolves within 12 hours (if untreated)
	*Flushing, warmth, erythematous rash, palpitations, dizziness, diarrhea		*Flushing, warmth, erythematous and urticarial rash, palpitations, dizziness, diarrhea, perioral burning, itching, or edema
	*May also see severe throbbing headache, blurred vision, tachycardia, and respiratory distress		*May also see severe throbbing headache, blurred vision, tachycardia, and respiratory distress

← Older revision		Revision as of 14:45, 16 November 2019
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	==See Also==		==See Also==
	*[[Marine toxins and envenomations]]		*[[Marine toxins and envenomations]]
			*[[Erythematous rash]]

	==References==		==References==