JACC: Case Reports (Oct 2019)

Scombroid Fish Poisoning Leading to Vasospastic Angina

  • Jahan E. Manjur, MD,
  • Marissa M. Ciuffo, DO,
  • Joe Burdowski, MD,
  • Sareena George, MD,
  • Andreas Kalogeropoulos, MD, MPH, PhD,
  • On Chen, MD

Journal volume & issue
Vol. 1, no. 3
pp. 322 – 326

Abstract

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Chest pain is commonly reported in emergency departments, and a thorough clinical history is important in distinguishing the etiology. This case highlights Kounis syndrome, a histamine-mediated coronary vasospasm leading to myocardial injury, due to scombroid fish poisoning. (Level of Difficulty: Beginner.)

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