[Scombroid poisoning at an Icelandic restaurant].

[Scombroid poisoning at an Icelandic restaurant].
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DOI:
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发表时间:
2005-03
期刊:
影响因子:
0.4
通讯作者:
G. Sigmundsdóttir;S. Magnússon;R. Ingólfsson;Ingibjörg Rósa Thorvaldsdóttir;V. Haraldsdóttir;D. Gíslason
G. Sigmundsdóttir;S. Magnússon;R. Ingólfsson;Ingibjörg Rósa Thorvaldsdóttir;V. Haraldsdóttir;D. Gíslason
中科院分区:
医学4区
文献类型:
--
作者:
G. Sigmundsdóttir;S. Magnússon;R. Ingólfsson;Ingibjörg Rósa Thorvaldsdóttir;V. Haraldsdóttir;D. Gíslason

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我们报告了四例鸡冠花中毒。在一次午餐会议上,三只雄性金枪鱼吃了同样的菜:一份俱乐部三明治和生金枪鱼。所有人在食用金枪鱼后的两小时内,面部和颈部都出现了红斑。症状的严重程度各不相同。其他症状包括大汗淋漓,口渴和心悸。几个小时后症状消失了。从金枪鱼中获得的样本显示,组胺水平超过了FDA推荐的水平。我们还报告了一个在混合沙拉中吃了金枪鱼罐头后出现类似症状的病例。刺鱼中毒与食用含有高水平组氨酸的深色鱼肉有关,组氨酸可以通过鱼中革兰氏阴性细菌的脱羧酶转化为组胺。最常被牵连的鱼是金枪鱼。提高对这类中毒的认识,对正确诊断和通过改进储存预防其他病例具有重要意义。
We report four cases of scombroid poisoning. During a lunch meeting three males had the same dish: a club sandwich with raw tuna. All developed erythema over the face and neck within two hours of eating the tuna. The severity of symptoms varied. Other symptoms were profuse sweating, a feeling of intense thirst and palpitations. The symptoms disappeared after few hours. Samples obtained from the tuna revealed histamine levels above the recommended FDA levels. We also report a case with similar symptoms after eating canned tuna in a mixed salad. Scombroid poisoning has been associated with the consumption of dark-flesh fish with high levels of histidine, which can be converted to histamine by decarboxylase from Gram-negative bacteria in the fish. The fish most often implicated is tuna. It is of great importance to increase the awareness of this type of poisoning for correct diagnosis and to prevent other cases by improving storage.