Wilderness: Scombroid Poisoning (cont.)
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Presumptive diagnosis is usually made on clinical observation of the above symptoms together with the history of eating food (usually fish) a short time before the symptoms occurred. Additional supportive evidence is indicated by the person's response to treatment (discussed below). Definitive diagnosis is performed infrequently with a test that detects abnormally high histamine levels in samples of fish that the person ingested.
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