Scombrotoxic fish poisoning

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms: Scombroid or histamine fish poisoning

History and Symptoms

Symptoms begin within 2 minutes to 2 hours after eating the fish.

The most common symptoms are:

• rash
• diarrhea
• flushing
• sweating
• headache
• vomiting

Burning or swelling of the mouth, abdominal pain, or a metallic taste may also occur. The majority of patients have mild symptoms that resolve within a few hours.

References

http://www.cdc.gov/ncidod/dbmd/diseaseinfo/marinetoxins_g.htm#whatsort

Treatment

Treatment is generally unnecessary, but antihistamines or epinephrine may be needed in certain instances.

Acute Pharmacotherapies

References

http://www.cdc.gov/ncidod/dbmd/diseaseinfo/marinetoxins_g.htm#whatsort

Acknowledgements

The content on this page was first contributed by: C. Michael Gibson, M.S., M.D.