A fishy cause of sudden near fatal hypotension.
Seafood-borne illnesses are a common but under recognised source of morbidity. We report the case of an 80-year-old woman who presented to hospital after collapsing in a restaurant following lunch consisting of mackerel fish. A detailed food history and clinical exclusion helped diagnose the condition as scombroid poisoning. The patient made a complete recovery following antihistamine therapy.
Borade
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PS
Department of Internal Medicine, Ipswich Hospital, Heath Road, Ipswich, IP4 5PD Suffolk, United Kingdom. prashantsborade@yahoo.co.uk
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Lee
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D000369:Aged, 80 and over; D000818:Animals; D005260:Female; D005517:Foodborne Diseases / Q000150:complications / Q000209:etiology; D006634:Histamine H1 Antagonists / Q000627:therapeutic use; D006801:Humans; D007022:Hypotension / Q000209:etiology*; D008387:Marine Toxins / Q000506:poisoning*; D010473:Perciformes
D006634:Histamine H1 Antagonists; D008387:Marine Toxins; C034101:scombrotoxin