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Vasospastic angina and scombroid syndrome: a case report
G Coppola1, G Caccamo, D Bacarella
1U.O.C. di Cardiologia, Scuola di Specializzazione in Malattie dell'Apparato Cardiovascolare, Dipartimento di Medicina Interna, Malattie Cardiovascolari e Nefrourologiche, Policlinico Universitario Paolo Giaccone Palermo, Italia.
Acta Clinica Belgica
|August 18, 2012
Summary
Scombroid syndrome, a type of fish poisoning, can mimic allergic reactions. Rarely, it may also cause acute coronary syndromes, as shown in this case report.
Area of Science:
- Toxicology
- Cardiology
- Foodborne Illness
Background:
- Scombroid syndrome is a common fishborne illness resulting from histamine accumulation in improperly stored fish.
- Symptoms typically manifest as a pseudoallergic reaction, including flushing, headache, and gastrointestinal upset.
Observation:
- This case report details a rare instance where Scombroid syndrome presented with signs and symptoms mimicking acute coronary syndromes.
- The patient experienced chest pain and other cardiac indicators consistent with myocardial infarction.
Findings:
- Histamine-induced reactions from Scombroid poisoning can trigger cardiovascular events.
- Differential diagnosis of acute coronary syndromes should consider Scombroid syndrome in endemic areas or after fish consumption.
Implications:
- Recognizing the potential for cardiac manifestations is crucial for timely and appropriate patient management.
- This case highlights the importance of considering Scombroid syndrome in the differential diagnosis of acute chest pain, especially after seafood ingestion.
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