Summary of Scombroid and Ciguatera Poisoning

Scombroid poisoning is an allergic reaction that occurs within minutes of eating improperly stored fish. Symptoms include a metallic or peppery taste in the mouth, flushing, and non-specific GI symptoms. Treatment involves antihistamines and supportive care. Ciguatera poisoning, on the other hand, is a neurotoxic reaction that occurs hours after eating certain types of fish. Common symptoms include parasthesia and a reversal of hot and cold temperatures. Supportive care is the mainstay of treatment for this condition.