Haff disease associated with the ingestion of the freshwater fish Mylossoma duriventre (pacu-manteiga).

Oswaldo Tolesani Júnior, Christian Nejm Roderjan, Edgard do Carmo Neto, Micheli Mikaeli Ponte, Mariana Cristina Pelli Seabra, Marcos Freitas Knibel

Revista Brasileira de Terapia Intensiva 2013 October

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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