Servicio de Urgencias, Hospital Mental de Antioquia, Bello, Colombia.
Servicio de Urgencias, Clínica SOMA, Medellín, Colombia.
Biomedica. 2020 Dec 2;40(4):594-598. doi: 10.7705/biomedica.5283.
Scombroid poisoning is caused by the consumption of certain types of fish (from the Scombridae family), especially tuna. Due to inadequate refrigeration procedures, these fish have high levels of histamine which generate symptoms similar to those of a food allergy in their consumers, so it is frequently underdiagnosed. It is self-limited in a few hours and the symptoms are usually not serious, except for specific cases reported in the literature of hypotension, bronchospasm, respiratory distress, tachyarrhythmias, and even acute myocardial infarction. We report here the case of a woman admitted to the emergency department of a third level hospital in Medellín a few minutes after eating tuna with the typical symptoms of intoxication, as well as tachyarrhythmias, a serious and atypical manifestation.
鲭鱼中毒是由食用某些类型的鱼（来自鲭科）引起的，尤其是金枪鱼。由于冷藏程序不当，这些鱼的组胺含量很高，会在消费者中产生类似于食物过敏的症状，因此经常被误诊。它在数小时内自行缓解，症状通常不严重，但在文献中也有低血压、支气管痉挛、呼吸窘迫、心动过速甚至急性心肌梗死等特定病例的报道。我们在此报告了一名妇女的病例，她在吃了金枪鱼几分钟后被紧急送往麦德林的一家三级医院，其典型症状为中毒，同时还伴有心动过速，这是一种严重且非典型的表现。
