Scombroid: Difference between revisions
(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.") |
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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