UMEM Educational Pearls

Category: Toxicology

Title: Scombroid

Keywords: Fish, scombroid, seafood poisoning (PubMed Search)

Posted: 9/6/2007 by Fermin Barrueto, MD (Updated: 11/19/2019)
Click here to contact Fermin Barrueto, MD

Scombroid is one of the most common seafood poisonings. A classic EM board question. - Caused by ingestion of histamine in fish muscle - Naturally occurring histidine is converted to histamine by bacteria in unrefrigerated fish - Most common fish: tuna, mackerel, bonito, mahi mahi, blue fish and yellow tail - Symptoms: Within minutes to hours - flushing, urticaria, perioral burning, N/V/D - Treatment: Antihistamines, fluids, bronchodilators. Epinephrine and steroid for severe reactions.