Overview
- A 47-year-old New Jersey man died hours after eating a hamburger in 2024, two weeks after a similar delayed illness following steak on a camping trip.
- An initial autopsy called it a sudden unexplained death, but a review prompted by his wife led UVA specialists to test stored blood.
- Postmortem results showed IgE antibodies to alpha‑gal and an extremely high tryptase level consistent with fatal anaphylaxis.
- Investigators note likely exposure from lone star tick larvae often mistaken for chiggers, with possible severity co‑factors including a beer and recent exercise.
- The case, published in the Journal of Allergy and Clinical Immunology: In Practice, urges clinicians to evaluate severe abdominal pain 3–5 hours after red meat and highlights expanding tick and deer ranges linked to rising AGS risk.