Scombrotoxinism: Protracted Illness following Misdiagnosis in the Emergency Department
المؤلفون المشاركون
Lohiya, Sunita
Krishna, Vijay
Lohiya, Ghan-Shyam
Lohiya, Sapna
المصدر
Case Reports in Emergency Medicine
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-08-19
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Background.
Scombrotoxinism is an acute toxin-induced illness caused primarily by bacterial synthesis of histamine in decomposed fish.
Case Report.
Immediately after taking 2-3 bites of cooked salmon, a clerical worker developed oral burning, urticaria, and asthma.
In the emergency department, she was diagnosed with “allergies”; scombrotoxinism was never considered.
She then developed wide-ranging symptoms (e.g., chronic fatigue, asthma, anxiety, multiple chemical sensitivity, and paresthesiae) and saw many specialists (in pulmonology, otorhinolaryngology, allergy, toxicology, neurology, psychology, and immunology).
During the next 500+ days, she had extensive testing (allergy screens, brain MRI, electroencephalogram, electromyogram, nerve conduction velocity, heavy metal screen, and blood chemistry) with essentially normal results.
She filed a workers’ compensation claim since this injury occurred following a business meal.
She was evaluated by a Qualified Medical Evaluator (GL) on day 504, who diagnosed scombrotoxinism.
Comment.
Scombrotoxinism should be considered in all patients presenting to the emergency department with “oral burning” or allergy symptoms following “fish consumption.” Initial attention to such history would have led to a correct diagnosis and averted this patient’s extended illness.
Specialist referrals and tests should be ordered only if clinically indicated and not for diagnostic fishing expedition.
Meticulous history is crucial in resolving clinical dilemmas.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Lohiya, Ghan-Shyam& Lohiya, Sapna& Lohiya, Sunita& Krishna, Vijay. 2015. Scombrotoxinism: Protracted Illness following Misdiagnosis in the Emergency Department. Case Reports in Emergency Medicine،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058472
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Lohiya, Ghan-Shyam…[et al.]. Scombrotoxinism: Protracted Illness following Misdiagnosis in the Emergency Department. Case Reports in Emergency Medicine No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058472
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Lohiya, Ghan-Shyam& Lohiya, Sapna& Lohiya, Sunita& Krishna, Vijay. Scombrotoxinism: Protracted Illness following Misdiagnosis in the Emergency Department. Case Reports in Emergency Medicine. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058472
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1058472
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر