Allergenic

A 34 year old woman presents with a generalized headache, palpitations, and redness and a 'feeling of heat' over the entire body.

These symptoms started around 30 minutes ago, not too long after a dinner with a group of friends, where she consumed a tuna salad and a glass of rosé wine.

Her medical history is unremarkable, and she is not on any drugs. A complete blood count and serum electrolyte assay are within normal parameters.

Her husband informs you that another person in the group appears to have developed similar symptoms a short while ago.

Select Relevant Investigations
Serum Histamine Levels

Performed

The results of this test will be available in several hours.
CT Brain

Performed

The CT Scan of the Brain appears normal.
CT Abdomen

Performed

The CT Scan of the Abdomen appears normal.
Blood Cultures

Performed

Culture reports will be available in 48 to 72 hours.

Select Relevant Management
Corticosteroids
Ranitidine
Notification
Avoid Tuna in Future