title: Scombroid fish poisoning syndrome.
abstract: Two patients presented to the emergency department with features of a histamine-like reaction and were subsequently determined to have scombroid fish poisoning. It is important to recognize the syndrome as an intoxication rather than an allergic reaction in order that the source of the toxin can be identified and further cases prevented. A review of the features and pathogenesis of the syndrome is presented.
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005396:Fish Products / Q000009:adverse effects*; D005512:Food Hypersensitivity / Q000175:diagnosis; D005517:Foodborne Diseases / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D006636:Histamine Release; D006801:Humans; D008297:Male; D013577:Syndrome