Pubblicazione scientifica

Histamine Poisoning from Ingestion of Fish or Scombroid Syndrome

FILONE TECNOLOGICO	TEMA
produzione e cattura	cattura selettiva
trasformazione e commercializzazione	macchinari di ausilio alla lavorazione e trasformazione del pesce sistemi di trasporto, logistica e catena del freddo

RIASSUNTO

The scombroid poisoning is due to the ingestion of poorly preserved fish (especially tuna, sardines, and mackerel) out of the cold chain. Under the influence of the proliferation of gram negative bacteria that occurs for heating, the histidine content in the muscle of the fish is converted into histamine, by the action of the enzyme histidine decarboxylase. If the histamine is ingested in large quantities, it causes an anaphylactoid reaction with a variety of symptoms from moderate to severe to life-threating. We will describe two cases that came under our observation after consuming a meal of bluefin tuna. The diagnosis of scombroid syndrome was made on the basis of the anamnestic data and the clinical one. The rapid resolution of the signs and symptoms after treatment with histamines H1-H2 receptor blockers confirmed the suspected diagnosis.

DATA

Data di pubblicazione: 01/01/2014

AUTORI

TORTORELLA VINCENZO
MASCIARI PEPPINO
PEZZI MARIO
MOLA ASSUNTA
TIBURZI SIMONA PAOLA
ZINZI MARIA CONCETTA
SCOZZAFAVA ANNAMARIA
VERRE MARIO

ENTE DI AFFERENZA

ANAESTHESIA AND INTENSIVE CARE UNIT GENERAL HOSPITAL “PUGLIESE-CIACCIO” VIALE PIO X 88100 CATANZARO ITALY
EMERGENCY MEDICINE UNIT GENERAL HOSPITAL “PUGLIESE-CIACCIO” 88100 CATANZARO ITALY

RIVISTA

Case Reports in Emergency Medicine, 2014, 482531

IMPACT FACTOR

N.D.

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