pufferfish poison symptoms

J. Toxicol, 11(339), e345. The toxin may form even if the fish has only been temporarily stored at too high a temperature. The deadly toxin can be found in the puffer fishs intestine, skin, liver and the ovaries thus the chances of consuming the toxin increases ten-fold. This is almost exclusively associated with eating the pufferfish from waters of the Indo-Pacific regions. Pufferfish Poisoning occurs from eating incorrectly prepared and served pufferfish meat or dish, Most cases of Poisoning due to Pufferfish consumption are serious and can result in death. Medical care for a patient with pufferfish poisoning includes: Emotional trauma is best described as a psychological response to a deeply distressing or life-threatening experience. These fish, which include mahi mahi (dolphin fish), albacore tuna, bluefin and yellowfin tuna, bluefish, mackerel, sardines, anchovy, herring, marlin,amberjack, and abalone, have high amounts of histidine. The following are the most common symptoms of pufferfish poisoning. Respiratory distress too starts to occur as the toxin acts on the medulla oblongata. Handling a wild puffer fish is extremely dangerous. Accessibility Contaminated fish may appear and taste fresh, although some may taste "peppery," "spicy," or "bubbly." Severe toxicity can lead to seizures and the person might become unconsciousness or even go into coma. Puffer fish poisoning is considered to be dangerous and sometimes even fatal, since there is no antidote so far. Irregular heart rhythms and low blood pressure may alsobe experienced. In more severe cases, the person can suffer from muscle pain, dizziness, and feelings of "reverse temperature" - that is, hot things seem cold and cold things seem hot. You must act quickly when you are stung by a puffer fish in the wild. Initial symptoms of pufferfish poisoning include. The Food and Drug Administration (FDA) is warning restaurants and fish markets that serve or sell puffer fish (also known as puffer, fugu, bok, blowfish, globefish, swellfish, balloonfish, or sea squab) not to buy or sell this product unless it is obtained from a known safe source. This makes your puffer fish that has lived its life in a aquarium fairly safe to touch. Consuming a puffer fish which has not been cut and cooked properly can cause the person to fall sick or even collapse right after eating it. Treatment depends upon the type of poisoning. Tetrodotoxin poisoning associated with eating puffer fish transported from Japan--California, 1996. Bites and stings from venomous animals: a global overview. {Which Light Is Best? Due to the potential health hazard, commercial importation of puffer fish into the United States is heavily restricted. National Capital Poison Center (USA)3201 New Mexico Ave, Suite 310 Washington, DC 20016Administrative Line: (202) 362-3867Emergency Line: 1 (800) 222-1222Fax: (202) 362-8377Email: pc@poison.orgWebsite: http://www.poison.org, American Association of Poison Control Centers (USA)515 King St., Suite 510, Alexandria, VA 22314Phone: (703) 894-1858Email: info@aapcc.orgWebsite: http://www.aapcc.org, National Poisons Centre (New Zealand)Dunedin School of Medicine, University of OtagoPO Box 913 Dunedin 9054, New ZealandPhone: 0800 POISON (0800 764 766)Website: http://www.poisons.co.nz, NSW Poisons Information Centre (Australia)Hawkesbury Rd & Hainsworth Street, Westmead NSW 2145, AustraliaPhone: +61 13 11 26Email: nswpoisons@chw.edu.auWebsite: https://www.poisonsinfo.nsw.gov.au, British Columbia Drug and Poison Information Centre (Canada)Room 0063, BC Centre for Disease Control655 West 12th AvenueVancouver, BC V5Z 4R4 CanadaPhone: (604) 682-5050Toll-Free: 1 (800) 567-8911Fax: (604) 707-2807Website: http://www.capcc.ca, Poisons Information Centre (South Africa)Room 411, Institute of Child HealthRed Cross Children's HospitalKlipfontein Road, Rondebosch, 7700, Cape Town South AfricaPhone: +27 21 658 5308Fax: +27 21 650 4492Email: poisonsinformation@uct.ac.zaWebsite: https://www.afritox.co.za, National Poisons Information Service (United Kingdom)City Hospital Dudley Rd, Birmingham United Kingdom B187QHPhone: +44 844 892 0111Fax: +44 121 507 55 88Email: mail@npis.orgWebsite: http://www.npis.org. Choose the doctor and the appointment date at home. Puffer fish are amazing in many ways. eCollection 2019 Apr. The next best option once a predator has caught up to a puffer fish is to swell up with air or water making it very hard to swallow. 219 Please dial Till date, no antidote has been found for this toxin. Disclaimer. The poison found in pufferfish, blowfish, balloon fish, toads, sunfish, porcupine fish, toadfish, globefish, and swellfish is a tetrodotoxin. Bookshelf Sims, J. K., & Ostman, D. C. (1986). Please remove adblock to help us create the best medical content found on the Internet. Clipboard, Search History, and several other advanced features are temporarily unavailable. The risk factors identified for Pufferfish Poisoning include: It is important to note that having a risk factor does not mean that one will get the condition. Where does African swine fever come from and how dangerous is it? Till date no antidotes have been found for tetrodotoxin and it remains a potent poison, probably one of the most dangerous poisons found in fishes. Person with puffer fish poisoning will start having symptoms of feeling intoxicated and dizzy. Reef fish from the tropical and subtropical waters of the West Indies, the Pacific Ocean, and the Indian Ocean pose the greatest threat. This poison is 1200 times deadlier than cyanide. However, people may fall sick or collapse after consuming the fish if it is not cut and cooked correctly. Also, the puffer fish is most toxic during its reproductive stages and consuming such a fish increases the chances of puffer fish poisoning to a large extent. Soon after the entire face, even in the extremities start feeling numb. Pufferfish are extremely dangerous for humans as they possess harmful toxins that can make humans sick or even die. Certain fishgroupers, barracudas, moray eel, sturgeon, sea bass, red snapper, amberjack, mackerel, parrot fish, surgeonfish,and triggerfishcan cause ciguatera fish poisoning. The numbers in the parentheses (1, 2, 3) are clickable links to peer-reviewed scientific papers. Puffer fish poisoning - PubMed Always talk with your healthcare provider for a diagnosis. Rapidly turn the person onto his or her side if vomiting occurs. Sensors (Basel). Pufferfish Poisoning and Tetrodotoxin. If pufferfish poisoning is suspected seek medical attention immediately. The fine poisonous spines are covered in a mucous-containing poison that can cause mild to severe reactions. Abdominal pain, nausea, vomiting, diarrhea and other . I was so wrong when I realized the cost comparison of different goldfish breeds and sizes. Unable to load your collection due to an error, Unable to load your delegates due to an error. numbness, Symptoms generally occur 10-45 minutes after eating the pufferfish poison and begin with numbness and tingling around the mouth, salivation. Noguchi, T., & Akaeda, H. (1998). You will start to notice symptoms right away or up to two hours. At certain times of the year, various species of fish and shellfish contain poisonous biotoxins, even if well cooked. Unauthorized use of these marks is strictly prohibited. The toxin cannot be destroyed by cooking or freezing. The National Poisong Control Center phone number in the U.S. 1-800-222-1222. Some of the common symptoms of puffer fish poisoning include: The deadly toxin present in puffer fish prevents and blocks adequate supply of sodium to the skeletal muscles and the heart. Symptoms generally appear between 20 minutes and3 hours after eating the poisonous pufferfish. During its reproductive period puffer fish is most toxic. Things to Do Immediately, How Long do Growing Pains Last? These are central nervous system toxins and are more deadly than cyanide. Are Puffer Fish Poisonous?[Explained] - Ocean Fauna The initial symptoms include numbness and tingling sensation in lips and on the tongue. reads. After the consumption of puffer fish, if your body has taken in all the toxins, it will be really deadly. There is no similar training and certification process for American chefs. TTX can bind to the voltage-gated sodium channels in nerve cell membranes. Tetrodotoxin, also called pufferfish poisoning or fugu poisoning, is a much rarer form of fish poisoning. Lueger A, Scherr D, Lang B, Brodmann M, Stark G. Wien Med Wochenschr. Regarded by many as a delicacy, puffer fish can be the source of lethal food poisoning in humans. Puffer fish poisoning has already taken several lives and is fatal for humans. However, each individual may experience symptoms differently. Hence, a patient of puffer fish poisoning should be given immediate medical attention or the chances of survival reduce considerably. The highly potent and dangerous neurotoxin not only gives rise to an array of severe symptoms but can prove fatal in many cases. Despite the lethal poison in their body, puffer fish are presumed to be a delicacy in Japan. Marcus, E. N., Burns, M. M., & Traub, S. J. Overview of shellfish and pufferfish poisoning. Do so with care and keep it to a minimum if possible. Wilderness: Pufferfish Poisoning - WebMD The first 24 hours after the occurrence of the poisoning are extremely crucial. eMedicineHealth does not provide medical advice, diagnosis or treatment. Personal importation is prohibited. Lancet. Unless the chef is specially trained to cut the meat in a particular fashion, the dish may contain a large amount of the toxin. Tsujimura, K., & Yamanouchi, K. (2015). The poison is their last line of defense. The person may become paralyzed. Soon patient develops pain in abdomen, vomiting, nausea, diarrhea, and other gastrointestinal symptoms. The prognosis of patient may depend on the amount of toxin and how quick patient gets treatment. Manage Settings [Vinmec - Q&A with experts] Topic 02: Children's health in hot season, Happy and healthy travel during the holidays: Advice on preparing luggage from A to Z. Helpusfish.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Poisonings are severe and deadly. This is followed by numb feeling all over the face and in the extremities. FOIA The severity and rapidity of symptoms depends on the amount of tetrodotoxin present in the eaten fish. Medical Videos Privacy Policy, Images and Text Policy Editorial Policy, Information Policy Advertising Policy, Financial Disclosure Policy Cookie Policy, About Us Contact Us. Trauma and First Aid Quiz: Training and Supplies Quiz. This form of fish poisoning happens worldwide in temperate and tropical waters. Many goldfish owners wonder, "Will my goldfish breed?" However, each individual may experience symptoms differently. Other names given to the puffer fish include globefish, sugar toads, sea squab and balloon fish. Puffer fish poisoning: clinical features and management - PubMed My Puffer Fish Is Not Poisonous. 1998 Sep;15(5):334-6. doi: 10.1136/emj.15.5.334. The name of TTX was established after the Tetraodontidae family of fish. Limbs start feeling weak and the person finds it difficult to breathe, Speech becomes slurred or difficult in person suffering from Puffer fish poisoning, Heart rate and respiratory rate become abnormal. Soon after the entire face, even in the extremities start feeling numb. Brian Arial has kept fish for leisure and worked with fish stores for most of his life. Pufferfish in the wild contain a toxic poison known as tetrodotoxin. Seafood Safety. Thus treatment is entirely supportive and symptomatic. There are four types of shellfish poisoning, which include amnesic shellfish poisoning (ASP), diarrheal shellfish poisoning (DSP), neurotoxic shellfish poisoning (NSP), and paralytic shellfish poisoning (PSP). See Additional Information. The sooner the patient takes treatment lesser is the mortality risk. Food Allergy Triggers, Common and Uncommon. Advisory on Puffer Fish | FDA - U.S. Food and Drug Administration Hemmert, C. D. (1974). I volunteer at my local fish shop and I created this site to offer tips and advice on the fish I care for. Also, the sooner the patients are given treatment, higher are the chances of their survival following Puffer Fish Poisoning. Unless the chef is specially trained to cut the meat in a particular fashion, the dish may contain a large amount of the toxin. Puffer Fish: How To Remove The Poison | CarpFishinguk.org All rights reserved. possibly, medical treatment and a tetanus booster. Symptoms of pufferfish poisoning may progress to paralysis, loss of consciousness, and respiratory failure, and can lead to death. 2022 Jan 3;20(1):47. doi: 10.3390/md20010047. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Vinmec is happy to send you the latest news by email. It gets its name from its inflatable nature wherein it swallows a lot of water when facing any kind of danger thereby replicating a huge ball which is far bigger than the fishs original size. It is one of the most poisonous known animals, with venom (known as tetrodotoxin) toxicity over 1000 times greater than cyanide. As a result of inadequate refrigeration or preservation, bacteria convert the histidine to histamine. Copyright 2019 Vinmec. One pufferfish in the wild has enough tetrodotoxin in its body to kill up to 30 adult humans. 2005 - 2023 WebMD LLC, an Internet Brands company. According to the CDC, it is considered an under-recognized risk for travelers, specifically in the tropics and subtropics. The slime coating on the puffer fish prevents it from catching diseases from the bacteria and active chemicals in the water. {Find The Perfect Name Here}. Scombroid fish poisoning (histamine fish poisoning) is a type of allergic reaction that happens from eating fish contaminated with high levels of histamine. They arent the fastest swimmers so they rely on maneuverability instead along with excellent eyesight. Symptoms may include the following: Nausea. Weakness in limbs, difficult or slurred speech, and breathing difficulty. Generally, recovery takes from several days to several weeks. Regarded by many as a delicacy, puffer fish can be the source of lethal food poisoning in humans. Fish Poisoning | Johns Hopkins Medicine Are you wondering if or can you touch a puffer fish in your aquarium? We strongly advise that you take the time to research your particular type of pufferfish in order to provide the best possible environment for this unique fish to thrive in your aquarium. Each of these fish have poisonous erectile spines on their dorsal, anal, and pelvic fins. Also, not having a risk factor does not mean that an individual will not get the condition. Theseinclude a variety of gastrointestinal, neurological, and cardiovascular abnormalities. The Food and Drug Administration (FDA) is warning restaurants and fish markets that serve or sell puffer fish (also known as puffer, fugu, bok, blowfish, globefish, swellfish, balloonfish, or sea . If patients are able to survive these crucial hours there are chances that they may survive without any complications and residual deficits in the future. The following are the most common symptoms of ciguatera poisoning. This is one of the most toxic poisons found in nature. (2016). When the fish is not cut properly or cooked adequately, such a poisoning takes place right after its consumption. This is considered a dangerous disease, spreading quickly, greatly affecting the livestock industry, there is currently no vaccine to prevent and no treatment. Following are the symptoms experienced after puffer fish poisoning: The initial symptoms include numbness and tingling sensation in lips and on the tongue. Poisoning occurs mainly after consuming wrongly prepared puffer fish dish. If the patient is able to survive after experiencing acute symptoms of puffer fish poisoning for 24 hours, then recovery is possible without any deficits or disability. Vinmec is not responsible for any cases of self-application without a doctor's prescription. redness, Countries like Japan see hundreds of people consuming this fish on a regular basis. Toxicon X. People suffering from puffer fish poisoning develop symptoms within half hour to 5 hours after eating puffer fish dish. Pufferfish poisoning: emergency diagnosis and management of mild human tetrodotoxication. Continue with Recommended Cookies. }, What to Name a Goldfish? Are Sea Anemones Poisonous to Humans|Symptom & Treatment of Sea Anemone Sting, Do Cockroaches Bite?|Symptoms, First Aid, Treatment for Cockroach Bite, Dietary Dos and Donts for Migraine Sufferers, Shirshasana (Headstand) Versus Inversion Therapy Using Inversion Table, Understanding Joint Pain and Tips to Get Relief Using Home Remedies, Erectile Dysfunction: Does Opioid Cause ED, Libido: Opioid Induced Female Sexual Dysfunction. numbness, and Yet, it is potentially very serious. Epub 2009 Nov 24. Scombroid poisoning is poisoning due to the ingestion of contaminated fish. Severe toxicity may result in seizures and unconsciousness and coma. An Updated Review of Tetrodotoxin and Its Peculiarities. National Library of Medicine groupers, barracudas, moray eel, sturgeon, sea bass, red snapper, amberjack, mackerel, parrot fish, surgeonfish, and triggerfish can cause ciguatera fish poisoning. Before sharing sensitive information, make sure you're on a federal government site. Please enable it to take advantage of the complete set of features! Handle with care or dont handle them at all. Is eating raw chicken bad for your health? Prevention is always better than cure, especially in this case where the treatment options for puffer fish poisoning are limited and there is no antidote. This is followed by numb feeling all over the face and in the extremities. In some series, the mortality rate has approached 60 percent. The risk of ciguatera poisoning exists in all tropical and subtropical waters of the West Indies, the Pacific Ocean, and the Indian Ocean, where these reef fish are eaten. @media(min-width:0px){#div-gpt-ad-helpusfish_com-mobile-leaderboard-2-0-asloaded{max-width:320px!important;max-height:50px!important}}if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[320,50],'helpusfish_com-mobile-leaderboard-2','ezslot_17',649,'0','0'])};__ez_fad_position('div-gpt-ad-helpusfish_com-mobile-leaderboard-2-0');@media(min-width:0px){#div-gpt-ad-helpusfish_com-mobile-leaderboard-2-0_1-asloaded{max-width:320px!important;max-height:50px!important}}if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[320,50],'helpusfish_com-mobile-leaderboard-2','ezslot_18',649,'0','1'])};__ez_fad_position('div-gpt-ad-helpusfish_com-mobile-leaderboard-2-0_1');.mobile-leaderboard-2-multi-649{border:none!important;display:block!important;float:none!important;line-height:0;margin-bottom:7px!important;margin-left:auto!important;margin-right:auto!important;margin-top:7px!important;max-width:100%!important;min-height:50px;padding:0;text-align:center!important}Dorsal, anal, caudal and pectoral fins help puffer fish maneuver very well in the water to avoid predators. immersion in hot water, Most people who eat pufferfish do so intentionally as pufferfish are considered an Asian delicacy, served in some types of sushi and sashimi. Some risk factors are more important than others. One of the major causes of puffer fish poisoning is its excessive consumption as a food delicacy. It is one of the most poisonous known animals, with venom (known as tetrodotoxin) toxicity over 1000 times greater than cyanide, The fish gets its name from its inflatability in the face of danger. @media(min-width:0px){#div-gpt-ad-helpusfish_com-medrectangle-3-0-asloaded{max-width:320px!important;max-height:50px!important}}if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[320,50],'helpusfish_com-medrectangle-3','ezslot_1',640,'0','0'])};__ez_fad_position('div-gpt-ad-helpusfish_com-medrectangle-3-0');@media(min-width:0px){#div-gpt-ad-helpusfish_com-medrectangle-3-0_1-asloaded{max-width:320px!important;max-height:50px!important}}if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[320,50],'helpusfish_com-medrectangle-3','ezslot_2',640,'0','1'])};__ez_fad_position('div-gpt-ad-helpusfish_com-medrectangle-3-0_1');.medrectangle-3-multi-640{border:none!important;display:block!important;float:none!important;line-height:0;margin-bottom:7px!important;margin-left:auto!important;margin-right:auto!important;margin-top:7px!important;max-width:100%!important;min-height:50px;padding:0;text-align:center!important}Its advised to wear gloves or avoid touching pufferfish altogether unless absolutely necessary. Watery diarrhea. Vomiting. Symptoms usually resolve within12 hours and scombroid poisoning is rarely life-threatening. How fast is puffer fish poison? We follow a strict editorial policy and we have a zero-tolerance policy regarding any level of plagiarism. The doctors monitor the pulse and respiratory rate along with the patients blood pressure constantly, thereby treating the patient accordingly. I always thought of goldfish being the cheapest possible fish to buy or even win at a carnival. There is no antidote yet found for the toxin. What happens when you get poisoned by a puffer fish? intense throbbing and pain, All rights reserved. tingling, Initial symptoms of puffer fish poisoning include a tingling sensation in the lips and tongue region followed by numbness. The FDA Regulatory Fish Encyclopedia has descriptions and photos of puffer fish and is available on-line. eMedicineHealth does not provide medical advice, diagnosis or treatment. Induce vomiting if the poisoned person is awake and alert and has eaten the fish within 3 hours, Call 911 (or the equivalent in other countries) and get to an emergency department, The person may become paralyzed and artificial respiration may be needed, Critical care monitoring, fluids, and other supportive care, Intubation and ventilatory support for patients not breathing on their own. This interferes with the transmission of signals from nerves . Pufferfish Toxin: Symptoms, Treatment & Emergency - eMedicineHealth Puffer Fish Poisoning|Symptoms|Causes|Treatments - Epainassist Are Pufferfish Poisonous or Dangerous? - AZ Animals The site is secure. Since there is no specific antidote available treatment is symptomatic. The State of Florida currently has a ban on both commercial and recreational harvesting of puffer fish from the waters of Volusia, Brevard, Indian River, St. Lucie, and Martin counties on the east coast of Florida due to persistent toxicity. Treatment for scombroid poisoning is generally unnecessary. It is second most common injury, Growing pain is muscular pain predominantly occurring in lower legs among children. Symptoms of pufferfish poisoning usually occur within 10-45 minutes after ingesting the pufferfish poison. Symptoms of pufferfish poisoning may progress to paralysis, loss of consciousness, and respiratory failure, and can lead to death. Symptoms generally occur 10-45 minutes after eating the pufferfish poison and begin with numbness and tingling around the mouth, salivation, nausea, and vomiting. Initially, the patient will experience numbness of the mouth, tongue, 2 lips, increased salivation, nausea and vomiting, accompanied by symptoms such as: Fatigue, dizziness, dizziness; Hard to say; Numbness in fingers, hands and feet; Loss of reflexes; Severe . Concentrations of Tetrodotoxin (TTX) and Its Analogue 4,9-Anhydro TTX in Different Tissues of the Silver-Cheeked Pufferfish (. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Immediate medical attention is critical from puffer fish poisoning. Studies reveal that the tetrodotoxin venom found in puffer fish is even more powerful than cyanide. The pufferfish is a fish found in the tropical and subtropical ocean waters. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Symptoms may include: Tingling or burning sensations in the mouth. Scorpionfish, lionfish, and stonefish are all poisonous marine animals that live in tropical and temperate oceans, especially the Red Sea and Indian and Pacific oceans. Marine and Freshwater Toxins, 259-284. Unless the chef is specially trained to cut the meat in a particular fashion, however, the dish may contain a large amount of the toxin. Induce vomiting within 2 to 3 hours of consuming the puffer fish and developing the symptoms of puffer fish poisoning. Nagashima, Y., & Arakawa, O. Virus gy bnh dch t ln chu Phi c th tn ti mt thi gian di trong mi trng v cc sn phm tht ln. Initial symptoms of puffer fish poisoning include a tingling sensation in the lips and tongue region followed by numbness. Alerts, Advisories & Safety Information, Recalls, Market Withdrawals and Safety Alerts, FDA Provides Advice on Safe Sources of Puffer Fish October, Only Eat Puffer Fish from Known Safe Sources, Puffer fish may contain the potent and deadly toxins tetrodotoxin and/or saxitoxin which can cause severe illness and death. The article was professionally consulted by Specialist Doctor I Do Van Manh - Emergency Medicine Doctor - Emergency Resuscitation Department - Vinmec Ha Long International General Hospital. If even a tiny amount of it is consumed, it can be fatal. This is one of the most toxic poisons found in nature. 2022 Feb 8;14(2):123. doi: 10.3390/toxins14020123. Once established in a tank, they wont be able to produce this deadly toxin, making them safer to touch. An Internet Brands company. Activated charcoal along with gastric lavage is given to the patient as this mixture binds with the toxin which remains inside unabsorbed. The poison has no known antidote. Pufferfish in aquariums dont produce this toxin and are safe to touch. Ciguatera poisoning symptoms typically resolve within several days, but maylast up to4 weeks. Therefore there is an increased risk that puffer fish prepared in the United States and elsewhere will be improperly prepared. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Wearing gloves is recommended in all cases. At least 30, Most people have experienced hiccups during their lifetime. Intoxication produces a constellation of symptoms, with paresthesias and generalized muscle weakness being common complaints The .gov means its official. The symptoms of scombroid poisoning may resemble other medical conditions. The amount of tetrodotoxin present in the fish consumed determines how rapidly the symptoms occur and how severe it is. This article may contains scientific references. 1999;151(5-6):122-5. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Our articles are resourced from reputable online pages. The bacteria available in the wild from their habitat and food causes pufferfish to easily produce and secrete tetrodotoxin when threatened. In fact, freezing and thawing of the product prior to removal of the toxic organs may result in the migration of toxin into the flesh of the fish. Scombrotoxin, also called scombroid poisoning or histamine poisoning, happens after eating fish that contain high levels of histamine due to improper food handling. Turn the patient on to one side as soon as the vomiting occurs.
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