Deceased
Noelene Gaye Bischoff and Yvana Jean Yuri Bischoff
Demographics
female
Date of death
2014-01-04
Finding date
2015-03-30
Cause of death
Allergic type reaction (anaphylaxis), possibly secondary to scombroid syndrome (histamine fish poisoning)
AI-generated summary
A mother and daughter died from severe allergic reactions to contaminated fish consumed at a Bali hotel restaurant on 3 January 2014. Both had underlying asthma, which increased anaphylaxis severity and treatment resistance. Autopsy findings showed anaphylactic changes, elevated histamine and tryptase levels, consistent with either food allergy or scombroid syndrome (histamine fish poisoning). The fish was likely not properly refrigerated. Clinical lessons include recognising that asthma increases anaphylaxis severity and treatment resistance, and that international travellers need clear information about seafood safety risks in destinations without regulated food safety frameworks. Early recognition and aggressive treatment of anaphylaxis, including potential advanced airway management, may have altered outcomes.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
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