Volume 49, Issue 3 (May 2004)

    Sudden Death Associated with Food and Exercise

    (Received 18 November 2003; accepted 12 December 2003)

    Published Online: March

    CODEN: JFSOAD

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    Abstract

    Exercised-induced anaphylaxis occurs in conjunction with significant physical exertion. Anaphylaxis occurring when an individual exercises within a few hours of ingesting a particular food is an unusual variant. Cardiovascular symptoms can be the sole manifestation of exerciseinduced food allergies, in which case death may mimic sudden cardiac death during physical exertion due to other pathologic causes. We report the sudden and unexpected death of an individual following the ingestion of hazelnuts and almonds, to which the individual was not previously known to be allergic. The decedent collapsed during vigorous dancing. The death was not associated with cutaneous or laryngeal manifestations of anaphylaxis. Awareness of the variable manifestations of food-precipitated anaphylaxis is necessary to correctly establish the diagnosis. An elevated serum tryptase level may be indicative of an allergic reaction, and allergen-specific IgE levels may be used to confirm the particular antigen.


    Author Information:

    Wolf, BC
    Office of the Medical Examiner, West Palm Beach, FL

    Flannagan, LM
    Office of the Medical Examiner, West Palm Beach, FL


    Stock #: JFS2003379

    ISSN: 0022-1198

    DOI: 10.1520/JFS2003379

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    Author
    Title Sudden Death Associated with Food and Exercise
    Symposium , 0000-00-00
    Committee E30