2013
DOI: 10.5935/0103-507x.20130058
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Haff disease associated with the ingestion of the freshwater fish Mylossoma duriventre (pacu-manteiga)

Abstract: 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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Cited by 19 publications
(16 citation statements)
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References 6 publications
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“…In modern times, this syndrome of unexplained myalgia and rhabdomyolysis occurring within 24 h of consumption of certain types of cooked seafood [1,2,3,4] has remained rare and had not been reported outside the Americas [2,6,7,8]. Isolated cases of milder presentations with less specific symptoms (e.g., weakness, abdominal pain, diarrhea, and vomiting) could be easily missed [21].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…In modern times, this syndrome of unexplained myalgia and rhabdomyolysis occurring within 24 h of consumption of certain types of cooked seafood [1,2,3,4] has remained rare and had not been reported outside the Americas [2,6,7,8]. Isolated cases of milder presentations with less specific symptoms (e.g., weakness, abdominal pain, diarrhea, and vomiting) could be easily missed [21].…”
Section: Discussionmentioning
confidence: 99%
“…In Sweden and the former Soviet Union, outbreaks occurred from 1934 to 1984 [2,6]. In the Americas, Haff disease was known to occur in the U.S. (since 1984) [1] and the Brazilian Amazon (2008–2011) [7,8]. …”
Section: Introductionmentioning
confidence: 99%
“…RM results from direct and indirect causes, such as crush injury, medications, infections, myopathies, muscular dystrophies, and various other diseases [2]. In Haff disease, the development of RM within 24 hours following ingestion of shellfish and certain freshwater fishes, has also been reported worldwide [3]. However, the exact pathogenesis of RM remains unclear, and RM treatment and care are limited.…”
Section: Introductionmentioning
confidence: 99%
“…Generally, neurological abnormalities, fever, splenomegaly, or hepatomegaly are not observed. ( 1 - 5 ) All patients suffering from Haff disease report a history of eating fish (pomfret, buffalo, or crayfish) within 24 hours before the onset of illness. ( 6 , 7 ) A few patients have died from Haff disease, but most survive and recover quickly.…”
Section: Discussionmentioning
confidence: 99%
“…( 1 ) Since the first report, outbreaks of Haff disease have been reported in Sweden, the former Soviet Union, the United States, Brazil, and China. ( 2 - 5 ) Haff disease is a rare clinical syndrome. If patients receive prompt treatment, the prognosis is good.…”
Section: Introductionmentioning
confidence: 99%