Haff disease associated rhabdomyolysis is correlated with the ingestion of certain
freshwater fish and shellfish and is caused by an unidentified toxin. We report the
case of a patient who experienced rhabdomyolysis approximately 2 hours after
ingestion of the freshwater fish Mylossoma duriventre
(pacu-manteiga) approximately 3 years after an outbreak had been
reported in Manaus, Brazilian Amazon.
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