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Salmon & tuna sushi roll on a plateA 22 year old male present to the ED with complaints of generalized flushing of the skin and associated urticaria which began within 20 minutes after he began eating at a new Sushi restaurant. Upon arrival he is diaphoretic, nauseated and dizzy with tingling to his lips and tongue.



Temp: 99.4°F (37.4°C), HR: 132, RR: 22, BP: 88/57, Sat. 98% on room air.


1. What is the cause of this reaction ?

2. What is the treatment ?








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