Department of Renal Medicine, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia
Department of Renal Medicine, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
BMJ Case Rep. 2022 Jun 14;15(6):e246093. doi: 10.1136/bcr-2021-246093.
This case describes the first report of Haff disease in Australia, where a family of three all presented with myalgia, after ingesting recently thawed, baked queen snapper fish, caught off the coast of Western Australia. All three members (mother, father and son) developed rhabdomyolysis; however, the son, who had a higher creatine kinase level, also developed an acute kidney injury, likely linked to his double fish consumption. All members were admitted for intravenous hydration and clinically improved. This case highlights the importance of dietary and environmental history in cases of rhabdomyolysis without an obvious aetiology in an otherwise self-limiting disease.
本病例报告了澳大利亚首例 Haff 病，一家三口在食用了近期解冻烘焙的西澳海域捕获的皇后石斑鱼后均出现肌肉疼痛。三名家庭成员（母亲、父亲和儿子）均发生横纹肌溶解症；然而，儿子由于食用了双倍的鱼，肌酸激酶水平更高，还发生了急性肾损伤，可能与他的双份鱼摄入量有关。所有成员均接受了静脉补液治疗并临床改善。在无明显病因的情况下，对于这种自限性疾病，如果横纹肌溶解症的病因不明，饮食和环境史的重要性。
