Article Text

Download PDFPDF
Rhabdomyolysis following snapper fish consumption (Haff disease): a family affair
  1. Adarsh Das,
  2. Timothy Khoo,
  3. Thomas England and
  4. Wai Hon Lim
  1. Department of Renal Medicine, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia
  1. Correspondence to Dr Adarsh Das; adarshdas7{at}


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.

  • Tropical medicine (infectious disease)
  • Foodborne infections
  • Acute renal failure

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors AD, TK, WHL and TE all analysed and interpreted the patient’s data and blood results. AD and TK performed the renal function tests and subsequent blood tests. AD wrote the background and the discussion. TK and TE wrote the case presentation and investigations. TK wrote the treatment, and outcome and follow-up. WHL and AD made the patient’s family consent. AD, WHL, TK and TE were major contributors in writing the manuscript. All authors read and approved the final manuscript, have all drafted the work for important intellectual content and have all approved the final version to be published. They agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.