Difference between revisions of "Scombroid"

(Created page with "==Background== *Frequently misdiagnosed as seafood allergy *Most of the cases associated with tuna, bluefish, and mahi-mahi **Also tuna, mackerel, skip-jack, and bonito.")
 
(Background)
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*Frequently misdiagnosed as seafood allergy
 
*Frequently misdiagnosed as seafood allergy
 
*Most of the cases associated with tuna, bluefish, and mahi-mahi  
 
*Most of the cases associated with tuna, bluefish, and mahi-mahi  
**Also tuna, mackerel, skip-jack, and bonito.
+
**Also tuna, mackerel, skip-jack, and bonito
 +
*Bacteria in fish produce histamine that is then consumed
 +
 
 +
==Clinical Presentation==
 +
*flushing, warmth, erythematous rash, palpitations, and significant tachycardia
 +
*Occasionally headache, blurred vision, respiratory distress, and dizziness
 +
*Starts within one hour of ingestion
 +
*Usually resolves within 12 hours if untreated and has no long-term sequelae
 +
 
 +
==Diagnosis ==
 +
Usually clinical
 +
 
 +
==Treatment==
 +
*H1 and H2 agonists
 +
*Epi and albuterol if bronchospasm
 +
 
 +
==Source==
 +
UpToDate
 +
 
 +
[[Category:Environ]]

Revision as of 14:43, 20 December 2012

Background

  • Frequently misdiagnosed as seafood allergy
  • Most of the cases associated with tuna, bluefish, and mahi-mahi
    • Also tuna, mackerel, skip-jack, and bonito
  • Bacteria in fish produce histamine that is then consumed

Clinical Presentation

  • flushing, warmth, erythematous rash, palpitations, and significant tachycardia
  • Occasionally headache, blurred vision, respiratory distress, and dizziness
  • Starts within one hour of ingestion
  • Usually resolves within 12 hours if untreated and has no long-term sequelae

Diagnosis

Usually clinical

Treatment

  • H1 and H2 agonists
  • Epi and albuterol if bronchospasm

Source

UpToDate