Scombrotoxic fish poisoning

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Abstract
Scombrotoxic fish poisoning (SFP) is associated with the consumption of contaminated fish of the Scombroid family (including tuna, mackerel, herring, marlin, bonito and jacks). SFP is a chemical intoxication and symptoms occur within 10 minute to 2 h after consumption of preformed histamine in scombroid fish and include rash on the face, neck and upper chest, flushing, sweating, nausea, vomiting, diarrhoea, abdominal cramps, headache, dizziness, palpitations, oral burning sensation, metallic taste and hypotension. Symptoms usually resolve within 24 h. Although most cases do not seek medical attention, in some instances symptoms may be of sufficient severity to prompt cases to seek urgent medical attention, where antihistamine drugs may be used.

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