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Related Concept Videos

Conditioned Taste Aversion01:14

Conditioned Taste Aversion

479
Conditioned taste aversion, also known as sauce béarnaise syndrome, is a phenomenon in which an individual develops an aversion to a certain food taste following a negative experience, typically illness. This form of aversion is a type of classical conditioning in which the taste of the food (conditioned stimulus, CS) is associated with the experience of illness (unconditioned stimulus, UCS).
A notable characteristic of conditioned taste aversion is that it often requires only a single...
479

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Tilapia Consumption and Scombroid Poisoning.

Ehizogie Edigin1, Prasanth Lingamaneni1, Juan Sarmiento1

  • 1Internal Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, USA.

Cureus
|December 6, 2019
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Summary

Scombroid poisoning, or histamine fish poisoning, usually results from dark meat fish. This report details a rare case of scombroid poisoning caused by consuming light meat tilapia.

Keywords:
anaphylaxishistaminehistidinepoisoningreportable illnessscombroidtilapia fish

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Area of Science:

  • Toxicology
  • Foodborne Illness
  • Marine Biology

Background:

  • Scombroid poisoning, also known as histamine fish poisoning, is a common foodborne illness.
  • It typically occurs after ingestion of fish with high levels of naturally occurring histamine.
  • Histamine is formed by bacterial decarboxylation of histidine, particularly in improperly stored dark meat fish.

Observation:

  • Anaphylaxis-like symptoms, including flushing, headache, and gastrointestinal distress, are characteristic of scombroid poisoning.
  • While most cases are linked to dark meat fish like tuna and mackerel, light meat fish are rarely implicated.
  • This case involves a patient who developed symptoms consistent with scombroid poisoning after consuming tilapia, a type of light meat fish.

Findings:

  • The patient's symptoms were attributed to elevated histamine levels in the consumed tilapia.
  • This case highlights the potential for light meat fish to cause scombroid poisoning under certain conditions.
  • Bacterial contamination and improper handling leading to histidine conversion are suspected.

Implications:

  • Clinicians should consider scombroid poisoning in patients with anaphylaxis-like symptoms, regardless of the fish type consumed.
  • This case underscores the importance of proper fish handling and storage practices for all fish species to prevent histamine formation.
  • Further research may be warranted to identify specific conditions or fish species within the light meat category that are more susceptible to histamine accumulation.