Histamine Toxicity from Fish Differential Diagnoses
- Author: Alexei Birkun, III, MD, PhD; Chief Editor: Timothy E Corden, MD more...
In patients who have been drinking alcohol, other problems to be considered in the differential diagnosis of histamine toxicity from fish include the following:
Chloral hydrate interaction (Mickey Finn)
Tyramine and monoamine oxidase inhibitor (MAOI) interaction
Considerations not related to alcohol ingestion include the following:
Chinese restaurant syndrome
Acute allergic reaction
Migraine or cluster headache
Consumption of escolar (rudderfish, oilfish) can cause keriorrhoea, an oily diarrhea, because of the high waxy ester content of these fish. However, escolar consumption can also result in histamine toxicity, as was documented in a case report of a large outbreak.
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