title: Scombroid Poisoning: A Practical Approach.
abstract: Scombroid poisoning is a common cause of food poisoning worldwide. It is caused by ingestion of oily fish contaminated with bacteria that trigger the formation of high concentrations of histamine. Scombroid poisoning manifests mainly as a skin complaint (flushing that spreads downward and/or an erythematous urticarial rash affecting the face and upper trunk). Although the clinical course is usually self-limiting and benign, vascular compromise, bronchospasm, and arrhythmias have been described. It is important to establish a differential diagnosis that includes conditions such as fish allergy. Oral antihistamines are the mainstay of treatment. Scombroid poisoning is best prevented by refrigerating fish properly. The practical review of scombroid poisoning provided here is intended for dermatologists.
authors.affiliation: Servicio de Dermatología, Hospital Universitario Cruces, Vizcaya, España. Electronic address: olaneguergue06051988@gmail.com.
authors.forename: O
authors.initials: O
authors.lastname: Guergué-Díaz de Cerio
authors.affiliation: Servicio de Dermatología, Hospital Universitario Cruces, Vizcaya, España.
authors.forename: A
authors.initials: A
authors.lastname: Barrutia-Borque
authors.affiliation: Servicio de Dermatología, Hospital Universitario Cruces, Vizcaya, España.
authors.forename: J
authors.initials: J
authors.lastname: Gardeazabal-García
mesh_terms: D000465:Algorithms; D000818:Animals; D005399:Fishes / Q000382:microbiology*; D005516:Food Microbiology; D005517:Foodborne Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000378:metabolism; D006632:Histamine / Q000096:biosynthesis; D006633:Histamine Antagonists / Q000627:therapeutic use; D006801:Humans
chemical_list: D006633:Histamine Antagonists; D006632:Histamine
keywords: Escombroidosis; Fish; Food poisoning; Histamine poisoning; Intoxicación histamínica; Pescado; Scombroid poisoning; Toxiinfección alimentaria