A Scombroid Poisoning Causing a Life-Threatening Acute Pulmonary Edema and Coronary Syndrome in a Young Healthy Patient
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Scombroid poisoning, also called histamine fish poisoning, is an allergy-like form of food poisoning that represents one of the major problems in seafood safety. It consists in a clinical syndrome associated with consumption of fish and, less frequently, cheese containing high levels of histamine [1, 2]. Usually certain families of dark meat fish are involved, mainly Scombroidae and Scomberesocidae (e.g., tuna, mackerel, skipjack, Bonito, and Cero). Other non-scombroid fish (e.g., mahi—mahi, herring, anchovies, sardines, Australian salmon, swordfish) was also reported to be associated with scombroid fish poisoning [1, 2, 3, 4, 5]. High fish histamine concentrations have been found responsible for this kind of poisoning. Histamine and histamine-like substances are generated from histidine by a decarboxylase activity of bacteria such as Proteus, Klebsiella, Aerobacter, Serratia, Enterobacter, and Escherichia coli [6, 7]. The presence of this bacteria and the massive...
KeywordsHistamine Food Allergy Acute Pulmonary Edema Fish Poisoning Severe Mitral Valve Regurgitation
- 3.Muller, G. J., Lamprecht, J. H., Barns, J. M., et al. (1992). Scombroid poisoning. South African Medicine Journal, 81, 427–430.Google Scholar
- 5.Scoging, A. C. (1991). Illness associated with seafood. CDR (London England: Review), 1(11), 117–122.Google Scholar
- 7.Staruszkiewicz, W. F., Barnett, J. D., Rogers, P. L., et al. (2004). Effects of on-board and dockside handling on the formation of biogenic amines in mahimahi (Coryphaena hippurus), skipjack tuna (Katsuwonus pelamis), and yellowfin tuna (Thunnus albacares). Journal of Food Protection, 67, 134–141.PubMedGoogle Scholar