A 35 year old man presents with symptoms of facial flushing, abdominal cramping, vomiting and diarrhea 30 minutes after eating marlin which had a peppery taste. Vitals are normal, patient is protecting his airway. No swelling or hives noted. What is the most likely cause of their symptoms?

A. Anaphylaxis

B. Allergic reaction

C. Scombroid

D. Ciguatera

E. Viral gastroenteritis

F. Bacterial gastroenteritis

Answer: C - Scombroid

Refer to this post on Marine envenomations