Scombroid Fish Poisoning Leading to Vasospastic Angina: A Rare Etiology of Chest Pain

Jahan E Manjur; Marissa M Ciuffo; Joe Burdowski; Sareena George; Andreas Kalogeropoulos; On Chen

doi:10.1016/j.jaccas.2019.07.015

Scombroid Fish Poisoning Leading to Vasospastic Angina: A Rare Etiology of Chest Pain

JACC Case Rep. 2019 Sep 11;1(3):322-326. doi: 10.1016/j.jaccas.2019.07.015. eCollection 2019 Oct.

Authors

Jahan E Manjur¹, Marissa M Ciuffo¹, Joe Burdowski², Sareena George², Andreas Kalogeropoulos², On Chen²

Affiliations

¹ Department of Internal Medicine, Stony Brook University Hospital, Stony Brook, New York.
² Division of Cardiology, Department of Medicine, Stony Brook University Hospital, Stony Brook, New York.

Abstract

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.).

Keywords: ECG, electrocardiogram; IgE, immunoglobulin E; Kounis syndrome; SFP, scombroid fish poisoning; coronary vasospasm; fish allergy; myocardial infarction with nonobstructive coronary arteries; scombrotoxicosis.

Publication types

Case Reports