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.

But the real culprit was the elevated histamine level in the tuna, which was not as fresh as it tasted, says the team from the Inova Fairfax Medical Campus in

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