University of Miami School of Nursing & Health Studies, Coral Gables, Florida (Drs Gonzalez, Ortega, and Crenshaw); The Ohio State University College of Nursing, Columbus (Dr McGhee); and University of South Florida College of Nursing, Tampa (Dr Nadeau).
Adv Emerg Nurs J. 2023;45(1):72-76. doi: 10.1097/TME.0000000000000447.
Scombroid poisoning is a common fish-borne disease in clinical settings. Fish that has not been adequately stored after catching can allow bacteria to proliferate, which causes the conversion of histidine to histamine. Once histamine has formed, freezing or cooking the fish will not remove the histamine content. Once the fish is consumed, histamine is released, causing toxicity to the patient with symptoms including cutaneous, gastrointestinal, and anaphylactoid. Emergency nurse practitioners should identify, appropriately diagnose, and treat individuals with scombroid poisoning and avoid misdiagnosing it as fish allergy.
鲭鱼中毒是临床常见的一种食源性疾病。鱼类在捕捞后如果没有得到充分的储存，就会导致细菌滋生，促使组氨酸转化为组胺。一旦形成组胺，冷冻或烹饪鱼类都无法去除其含量。一旦食用，组胺就会被释放出来，导致患者中毒，出现皮肤、胃肠道和过敏样症状。急诊执业护士应当识别、正确诊断和治疗鲭鱼中毒患者，避免将其误诊为鱼类过敏。
