Pediatric Flushing Syndrome
Introduction
Introduction to children's flushing syndrome Flushing syndrome (flushingsyndrome) refers to a group of syndromes caused by the body's toxins in the squid after eating the squid. Clinically, the skin flushing of the face, neck, torso, etc. is the main feature. This condition is also known as the fish tube syndrome. basic knowledge The proportion of illness: 0.0005% Susceptible people: children Mode of infection: non-infectious Complications: shock
Cause
Causes of children's flushing syndrome
Fish quality (25%):
Whether the disease occurs after eating squid is related to the quality of the fish. Because the refrigeration process of each batch of fish products, the quality and cooking methods are not the same, there are often a batch of commercial products and collective gangs. tendency.
Mixed heat resistant material (25%):
Studies have confirmed that the toxin contained in the carp is a mixed heat-resistant substance, including histamine, Sanrine (a histamine-like chemical) and some poisons produced by the decarboxylation of histidine by bacteria.
Toxin (30%):
The flushing syndrome is not caused directly by contaminating bacteria, nor is it an allergic reaction, but is caused by the toxin contained in the carp.
Prevention
Prevention of flushing syndrome in children
Prevention should focus on reasonable storage and refrigeration after fishing to prevent deterioration and pollution. When cooking, add vinegar or pickles. Tomato juice can destroy some histamine and control the amount of food to reduce the possibility of disease.
Complication
Complications of children with flushing syndrome Complications
Severe breathing difficulties, shock, and even death.
Symptom
Symptoms of children with flushing syndrome Common symptoms Abdominal pain, nausea, edema, diarrhea, difficulty breathing, conjunctival congestion, pulsatile headache, palpitations and shock
Generally, within 30 minutes to 1 hour after eating squid, the fastest is only a few minutes, and suddenly the face, neck, upper torso, arms and other places are flushed, burning, conjunctival congestion, seemingly drunk, may have urticaria, vascular nerve Edema such as edema, severe cases have pulsating headache, palpitations, pharyngeal burning, and even breathing difficulties, shock, dilated pupils, children may have abdominal pain, diarrhea, nausea, vomiting and other gastrointestinal symptoms, symptoms and severity Related to the amount of food intake, these clinical symptoms usually disappear within a few hours.
Examine
Examination of tidal flush syndrome in children
Blood tests should be performed, such as blood routine, blood pH, blood electrolytes, liver and kidney function tests; suspicious food, vomit check, stool examination and culture.
Should be an electrocardiogram, X-ray chest and other examinations.
Diagnosis
Diagnosis and differentiation of children with flushing syndrome
This symptom is based on the exact history of eating squid and sudden appearance of flushing, burning, conjunctival hyperemia, etc., after the exclusion of drugs and other causes of flushing can be diagnosed.
Identification with drugs, food poisoning.
