Lange W R
Johns Hopkins Hospital, Baltimore, Maryland.
Am Fam Physician. 1988 Apr;37(4):163-8.
The symptoms of scombroid poisoning resemble an acute allergic reaction. Tuna, albacore, mackerel and bonito are implicated, as are nonscombroid fish such as mahi-mahi and bluefish. The histamine content of affected fish is high, but the pathophysiology is more complex than the mere ingestion of histamine. Antihistamines and cimetidine appear to be effective in controlling symptoms. Prevention consists of prompt and adequate refrigeration of dark-meated fish.
鲭鱼中毒的症状类似于急性过敏反应。涉及的鱼类有金枪鱼、长鳍金枪鱼、鲭鱼和鲣鱼，非鲭鱼类如鲯鳅和竹荚鱼也会涉及。受影响鱼类的组胺含量很高，但病理生理过程比单纯摄入组胺更为复杂。抗组胺药和西咪替丁似乎对控制症状有效。预防措施包括对红肉鱼及时进行充分冷藏。
