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Horseradish Horrors: Sushi Syncope

Horseradish Horrors: Sushi Syncope To the Editor. —Chinese restaurant syndrome is well described in the medical literature; most symptoms pertaining to this disorder are, however, more of a "headache" than a true threat to life or well-being. In contrast, I would like to report a case of near-catastrophe related to an uninitiated diner eating in a Japanese restaurant. Report of a Case. —A 63-year-old previously healthy man decided to dine with his wife and friends at a Japanese restaurant; he had never before partaken of sushi served with a mound of wasabi—a mixture of horseradish. The first morsel of sushi swallowed was therefore not the expected raw fish, but rather consisted of the entire mound of wasabi. The effects were as immediate as they were devastating: he became pale, diaphoretic, and confused; he staggered from the restaurant and collapsed on the sidewalk. Though the night was cool, he rapidly diaphoresed a large quantity of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Horseradish Horrors: Sushi Syncope

JAMA , Volume 259 (2) – Jan 8, 1988

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Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1988.03720020020024
Publisher site
See Article on Publisher Site

Abstract

To the Editor. —Chinese restaurant syndrome is well described in the medical literature; most symptoms pertaining to this disorder are, however, more of a "headache" than a true threat to life or well-being. In contrast, I would like to report a case of near-catastrophe related to an uninitiated diner eating in a Japanese restaurant. Report of a Case. —A 63-year-old previously healthy man decided to dine with his wife and friends at a Japanese restaurant; he had never before partaken of sushi served with a mound of wasabi—a mixture of horseradish. The first morsel of sushi swallowed was therefore not the expected raw fish, but rather consisted of the entire mound of wasabi. The effects were as immediate as they were devastating: he became pale, diaphoretic, and confused; he staggered from the restaurant and collapsed on the sidewalk. Though the night was cool, he rapidly diaphoresed a large quantity of

Journal

JAMAAmerican Medical Association

Published: Jan 8, 1988

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