Scombroid fish poisoning: successful treatment with cimetidine

Reported is a patient with a clinical syndrome characteristic of scombroid fish poisoning after ingesting yellowfin tuna that may have been allowed to sit at room temperature for some time before preparation. The patient was treated with an intravenous infusion of cimetidine with prompt resolution of a diffuse, well demarcated, erythematous, pruritic rash. The treatment was without sequelae and permitted early discharge from the emergency department. A brief review of scombroid fish poisoning and its treatment is provided.