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Scombroid food poisoning

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Scombroid fish poisoning is a foodborne illness that results from eating spoiled (decayed) fish. It is most commonly reported with tuna, mahi-mahi, bonito, sardines, anchovies, and related species of fish that were inadequately refrigerated or preserved after being caught. Scombroid can result from inappropriate handling of fish during storage or processing. One of the toxic agents implicated in scombroid poisoning is a chemical called histamine. Other chemicals have been found in decaying fish flesh, but their association to scombroid fish poisoning has not been clearly established.

The suspect toxin is an elevated level of histamine generated by bacterial breakdown of substances in the muscle protein. This natural spoilage process is thought to release additional by-products, which cause the toxic effect. Freezing, cooking, smoking, curing or canning does not destroy the potential toxins.

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[edit] Symptoms

Symptoms of poisoning can show within just minutes, and up to two hours, following consumption of a spoiled dish. Symptoms usually last for approximately four to six hours and rarely exceed one to two days.

[edit] Initial

The first signs of poisoning suggest an allergic reaction with the following symptoms:

  • facial flushing/sweating
  • burning-peppery taste sensations in the mouth and throat
  • dizziness
  • nausea
  • headache

[edit] Additional Symptoms

The above symptoms can advance to the following:

[edit] Severe

In the worst cases, the poisoning may:

  • blur vision
  • cause respiratory stress
  • swelling of the tongue

[edit] Treatment

Scombroid poising is usually treated by a physician prescibing an anti-histamine to the subject.

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