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Published on: August 18, 2016
Scombroid fish poisoning illness and coronary artery vasospasm
Malcolm Anastasius1, John Yiannikas1
1Cardiology Department, Concord Repatriation General Hospital, Concord, NSW, Australia.
Abstract:
We present an interesting case of a young man with coronary artery vasospasm complicating scombroid fish poisoning illness. The initial presentation included tachycardia and significant hypotension. A 12-lead ECG showed sinus tachycardia with marked widespread ST segment depression and ST elevation in aVR. Symptoms subsequently improved with intravenous fluid rehydration, antihistamines, and glyceral trinitrate. The underlying pathogenesis and treatment of this rarely described manifestation of the fish poisoning illness is discussed.
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