Jermini-Gianinazzi Ilaria, Jermini Marco, Di Valentino Marcello
1 Notfallstation, Ospedale Regionale di Bellinzona e Valli, Bellinzona.
2 Gesundheitsdepartement des Kantons Tessin, Direktionsbereich öffentliche Gesundheit, Kantonales Laboratorium, Bellinzona.
Praxis (Bern 1994). 2019 Apr;108(6):431-433. doi: 10.1024/1661-8157/a003213.
One Case for Two We report on a 59-year-old patient with a rash, hypotension and chest pain after eating tuna fish. A diagnosis of scombroid fish poisoning was made. It is a syndrome resembling an allergic reaction that occurs after eating fish of the Scombridae family contaminated with high levels of histamine. The authorities responsible for food safety should be immediately informed in order to investigate the event from their perspective, i.e. inspect selling premises, sample and test implicated food, as well as to take appropriate measures. Anaphylaxis rarely manifests as a vasospastic acute coronary syndrome, called Kounis syndrome.
一例双重病症 我们报告了一名59岁患者，其在食用金枪鱼后出现皮疹、低血压和胸痛。诊断为鲭鱼中毒。这是一种类似于过敏反应的综合征，发生在食用了被高组胺污染的鲭科鱼类之后。应立即通知负责食品安全的当局，以便从他们的角度调查该事件，即检查销售场所、采集和检测相关食品样本，并采取适当措施。过敏反应很少表现为血管痉挛性急性冠状动脉综合征，即库尼斯综合征。
