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Scombroid poisoning. Case series of 10 incidents involving 22 patients.
S Afr Med J. 1992 Apr 18; 81(8):427-30.SA

Abstract

Scombroid poisoning is a form of ichthyosarcotoxism caused by the consumption of 'spoiled' fish of the dark meat varieties. It can be considered a mild-to-moderate form of 'food poisoning' and it occurs world-wide. Ten incidents, involving 22 patients, were reported to Tygerberg Hospital Pharmacology and Toxicology Consultation Centre in the first quarter of 1990. Cape yellowtail (Seriola lalandii) was involved in all the cases. The presenting symptoms and signs (in order of frequency) were: skin rash, diarrhoea, palpitations, headache, nausea and abdominal cramps, paraesthesia, an unusual taste sensation and breathing difficulties. The patients responded well to anti-histamines and, in most, the condition resolved within 12-24 hours. Although histamine plays an important role in the pathogenesis of scombroid poisoning, the exact mechanism is still unresolved. The condition should be recognised and not confused with a true seafood allergy. Health workers are urged to alert the authorities when outbreaks of suspected cases of scombroid poisoning are encountered in order to establish the possible cause and to prevent further cases.

Authors+Show Affiliations

Department of Pharmacology, University of Stellenbosch, Parowvallei, CP.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

1566220

Citation

Müller, G J., et al. "Scombroid Poisoning. Case Series of 10 Incidents Involving 22 Patients." South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde, vol. 81, no. 8, 1992, pp. 427-30.
Müller GJ, Lamprecht JH, Barnes JM, et al. Scombroid poisoning. Case series of 10 incidents involving 22 patients. S Afr Med J. 1992;81(8):427-30.
Müller, G. J., Lamprecht, J. H., Barnes, J. M., De Villiers, R. V., Honeth, B. R., & Hoffman, B. A. (1992). Scombroid poisoning. Case series of 10 incidents involving 22 patients. South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde, 81(8), 427-30.
Müller GJ, et al. Scombroid Poisoning. Case Series of 10 Incidents Involving 22 Patients. S Afr Med J. 1992 Apr 18;81(8):427-30. PubMed PMID: 1566220.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Scombroid poisoning. Case series of 10 incidents involving 22 patients. AU - Müller,G J, AU - Lamprecht,J H, AU - Barnes,J M, AU - De Villiers,R V, AU - Honeth,B R, AU - Hoffman,B A, PY - 1992/4/18/pubmed PY - 1992/4/18/medline PY - 1992/4/18/entrez SP - 427 EP - 30 JF - South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde JO - S. Afr. Med. J. VL - 81 IS - 8 N2 - Scombroid poisoning is a form of ichthyosarcotoxism caused by the consumption of 'spoiled' fish of the dark meat varieties. It can be considered a mild-to-moderate form of 'food poisoning' and it occurs world-wide. Ten incidents, involving 22 patients, were reported to Tygerberg Hospital Pharmacology and Toxicology Consultation Centre in the first quarter of 1990. Cape yellowtail (Seriola lalandii) was involved in all the cases. The presenting symptoms and signs (in order of frequency) were: skin rash, diarrhoea, palpitations, headache, nausea and abdominal cramps, paraesthesia, an unusual taste sensation and breathing difficulties. The patients responded well to anti-histamines and, in most, the condition resolved within 12-24 hours. Although histamine plays an important role in the pathogenesis of scombroid poisoning, the exact mechanism is still unresolved. The condition should be recognised and not confused with a true seafood allergy. Health workers are urged to alert the authorities when outbreaks of suspected cases of scombroid poisoning are encountered in order to establish the possible cause and to prevent further cases. SN - 0256-9574 UR - https://www.unboundmedicine.com/medline/citation/1566220/Scombroid_poisoning__Case_series_of_10_incidents_involving_22_patients_ L2 - https://medlineplus.gov/foodborneillness.html DB - PRIME DP - Unbound Medicine ER -