This case report describes a classical case of scombroid fish poisoning, following which the victim suffered persistent headache, abdominal cramps and diarrhea. The sequelea of the intoxication were refractory to symptomatic therapy. An oral histamine-2 antagonist, cimetidine, successfully relieved the victim of her symptoms. This is the first description of an effective therapy for the clinical residua following a bout of scombrotoxism.
KawabataT.IshizakaK.MiuraT.Studies on the allergy-like food poisoning associated with putrefaction of marine products. Separation of causative substance and some of its chemical characteristics. Jpn J Med Sci Biol1955; 8, 503–519
17.
HughesJ.M.MersonM.H.Fish and shellfish poisoning. N Engl J Med1976; 295, 1117–1120
18.
LerkeP.A.Scombroid poisoning – report of an outbreak. West J Med1978; 129, 381–386
19.
DickinsonG.Scombroid fish poisoning syndrome. Ann Emerg Med1982; 11, 487–489
20.
EtkindP.WilsonM.E.GallagherK.CournoyerJ.Bluefish-associated scombroid poisoning: an example of the expanding spectrum of food poisoning from seafood. JAMA1987; 258, 3409–3410
21.
UragodaC.G.Histamine poisoning in tuberculous patients after ingestion of tuna fish. Am Rev Resp Dis1980; 121, 157–159
22.
BlakesleyM.L.Scombroid poisoning: prompt resolution of symptoms with cimetidine. Ann Emerg Med1983; 12, 104–106
23.
Kow-TongC.MalisonM.D.Outbreak of scombroid fish poisoning, Taiwan. Am J Public Health1987; 77, 1335–1336