*Accident & Emergency Department,The University of Hong Kong-Shenzhen Hospital,Shenzhen,China.
†Emergency Medicine Unit, Li Ka Shing Faculty of Medicine,The University of Hong Kong,Hong Kong.
CJEM. 2018 Oct;20(S2):S48-S50. doi: 10.1017/cem.2017.391. Epub 2017 Sep 12.
Crayfish or Procambarus clarkii is a freshwater crustacean with worldwide distribution. Tons of crayfish are consumed each year. In this report, four adult patients with rhabdomyolysis after consuming crayfish were described. All of them presented to the emergency department with myalgia. The diagnosis of rhabdomyolysis was supported by an elevated creatine kinase level. All recovered with supportive treatment. The clinical picture of these 4 patients was compatible with Haff disease. Haff disease is a syndrome in which rhabdomyolysis develops subsequent to consumption of certain cooked seafood. Crayfish is a common culprit. Diagnosis depends on obtaining a diet history and creatine kinase level. Most patients recover uneventfully with supportive treatment for rhabdomyolysis.
小龙虾（Procambarus clarkii）又称克氏原螯虾，是一种分布于世界各地的淡水甲壳类动物。每年都有大量的小龙虾被食用。本报告描述了 4 例因食用小龙虾而导致横纹肌溶解的成年患者。所有患者均因肌肉疼痛而就诊于急诊。肌酸激酶水平升高支持横纹肌溶解的诊断。所有患者均经支持治疗后康复。这 4 例患者的临床表现与哈夫病相符。哈夫病是一种综合征，在食用某些熟制海鲜后会发生横纹肌溶解。小龙虾是常见的致病原因。诊断取决于获取饮食史和肌酸激酶水平。大多数患者经横纹肌溶解的支持治疗后可顺利康复。
