Histamine Fish Toxicity - Inadequate refrigeration increases enzyme from bacteria on fish
Clinical
• Skin flushing, throbbing headache, abdominal cramps
• Oral burning, nausea, diarrhea, palpitations
• Symptoms occur within 10-30 min of eating fish
Management
• Supportive care
• Antihistamines (e.g. diphenhydramine)
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