'Mass allergy': Acute scombroid poisoning in a deployed Australian Defence Force health facility

EMA - Emergency Medicine Australasia

Volumn 23, Issue 1, 2011, Pages 98-102

  Ward, David Ian ^a  

^a Headquarters 1st Division   (Australia)

Author keywords

Histamine; Scombroid

Indexed keywords

ADRENALIN; DEXAMETHASONE; HYDROCORTISONE; ONDANSETRON; PROMETHAZINE; RANITIDINE;

ABDOMINAL CRAMP; ABDOMINAL PAIN; ACCIDENT; ADULT; ALLERGIC REACTION; ALLERGY; ANGIONEUROTIC EDEMA; ARMY; ARTICLE; CLINICAL ARTICLE; CONFUSION; DIARRHEA; DYSPHAGIA; ERYTHEMA; FOOD POISONING; GASTROINTESTINAL SYMPTOM; HEALTH CARE FACILITY; HOARSENESS; HUMAN; INDONESIA; INTOXICATION; MALE; MASS ALLERGY; MASS DISASTER; MILITARY MEDICINE; NAUSEA; PRIORITY JOURNAL; SCOMBROID INTOXICATION; URTICARIA; VOMITING; WHEEZING;

ACUTE DISEASE; ANGIOEDEMA; AUSTRALIA; FOODBORNE DISEASES; GASTROINTESTINAL DISEASES; HEALTH FACILITIES; HUMANS; HYPERSENSITIVITY; INDONESIA; MARINE TOXINS; MASS CASUALTY INCIDENTS; MEDICAL MISSIONS, OFFICIAL; MILITARY FACILITIES; RESPIRATORY SOUNDS; URTICARIA;

EID: 79551497096     PISSN: 17426731     EISSN: 17426723     Source Type: Journal    
DOI: 10.1111/j.1742-6723.2010.01380.x     Document Type: Article

References (18)

1. Morrow JD, Margolies GR, Rowland J, Roberts LJ 2nd. Evidence that histamine is the causative toxin of scombroid-fish poisoning. N. Engl. J. Med. 1991; 324: 716-20.
2. Staruszkiewicz WF, Barnett JD, Rogers PL, Benner RA Jr, Wong LL, Cook J. Effects of on-board and dockside handling on the formation of biogenic amines in mahi-mahi (Coryphaena hippurus), skipjack tuna (Katsuwonus pelamis), and yellowfin tuna (Thunnus albacares). J. Food Protect. 2004; 67: 134-41.
3. Taylor SL, Stratton JE, Nordlee JA. Histamine poisoning (scombroid fish poisoning): an allergy-like intoxication. J. Toxicol. Clin. Toxicol. 1989; 27 (4-5): 225-40.
4. Aurbach PS, Robert NL. Disorders Caused by Reptile Bites and Marine Animal Exposures. Harrison's Online, Access Medicine from McGraw-Hill. [Cited 15 Dec 2009.] Available from URL:
5. Brown C. Scombroid poisoning. Med. J. Aust. 1993; 158: 435-6.
6. Smart DR. Scombroid poisoning. A report of seven cases involving the Western Australian salmon, Arripis truttaceus. Med. J. Aust. 1992; 157: 748-51.
7. Hall M. Something Fishy: six patients with an unusual cause of food poisoning. Emerge. Med. 2003; 15: 293-5.
8. Guly HR, Grant IC. Case of the month: lesson of the week: don't forget scombroid. Emerg. Med. J. 2006; 23: 955-6.
9. Feldman KA, Werner SB, Cronan S etal. A large outbreak of scombroid fish poisoning associated with eating escolar fish (Lepidocybium flavobrunneum). Epidemiol. Infect. 2005; 133: 29-33.
10. Eckstein M, Serna M, DelaCruz P, Mallon WK. Out-of-hospital and emergency department management of epidemic scombroid poisoning. Acad. Emerg. Med. 1999; 6: 916-20.
11. Muller GJ, Lamprecht JH, Barnes JM, De Villiers RV, Honeth BR, Hoffman BA. Scombroid poisoning. Case series of 10 incidents involving 22 patients. S. Afr. Med. J. 1992; 81: 427-30.
12. Lehane L, Olley J. Histamine fish poisoning revisited. Int. J. Food Microbiol. 2000; 58 (1-2): 1-37.
13. Russell FE, Maretic Z. Scombroid poisoning: mini-review with case histories. Toxicon 1986; 24: 967-73.
14. Patrick DJ. eMedicine from webMD. [updated 08 Apr 2010][Cited 15 Dec 2009]. Available from URL:
15. Taylor SL. Histamine food poisoning: toxicology and clinical aspects. Crit. Rev. Toxicol. 1986; 17: 91-128.
16. Borade PS, Ballary CC, Lee DKC. A fishy cause of sudden near fatal hypotension. Resuscitation 2007; 72: 158-60.
17. Iannuzzi M, D'Ignazio N, Bressy L, De Sio A. Severe scombroid fish poisoning syndrome requiring aggressive fluid resuscitation in the emergency department: two case reports. Minerva Anestesiol. 2007; 73: 481-3.
18. Burke WA, Tester PA. Skin problems related to non-infectious coastal microorganisms. Dermatol. Ther. 2002; 15: 10-17.