Scombroid Fish Poisoning


Step 1: View clinicals

A 34 year old woman presents with a generalized headache, palpitations, and redness and a 'feeling of heat' over the entire body. These symptoms started around 30 minutes ago, not too long after a dinner with a group of friends, where she consumed a tuna salad and a glass of rosé wine. Her medical history is unremarkable, and she is not on any drugs. A complete blood count and serum electrolyte assay are within normal parameters. Her husband informs you that another person in the group appears to have developed similar symptoms a short while ago.

Step 2: Order all relevant investigations

Serum Histamine Levels

The results of this test will be available in several hours.

CT Brain

The CT Scan of the Brain appears normal.

CT Abdomen

The CT Scan of the Abdomen appears normal.

Blood Cultures

Culture reports will be available in 48 to 72 hours.

Step 3: Select appropriate management

Avoid Tuna in Future

Score: ★★☆