Scombroid Fish Poisoning Leading to Vasospastic Angina: A Rare Etiology of Chest Pain

Abstract Chest pain is commonly reported in emergency departments, and a thorough clinical history is important in distinguishing the etiology. This case highlights Kounis syndrome, a histamine-mediated coronary vasospasm leading to myocardial injury, due to scombroid fish poisoning. (Level of Difficulty: Beginner.)