Tuna dinner sparked life-threatening hypotension: case

Her symptoms pointed to an acute coronary syndrome, but she actually had histamine fish poisoning, her treating doctors say.

A tuna steak dinner quickly led to life-threatening hypotension and tachycardia in a healthy woman, in a case her treating doctors hope will raise awareness of scombroid (histamine) fish poisoning.

The 48-year-old nurse practitioner’s symptoms were initially thought to signal cardiogenic shock related to acute coronary syndrome or pericarditis or myocarditis, due to the sudden onset.