title: Haff disease complicated by multiple organ failure after crayfish consumption: a case study.
abstract: Haff disease is a syndrome consisting of unexplained rhabdomyolysis. Patients suffering from Haff disease report having eaten fish within 24 hours before the onset of illness. Most patients survive and recover quickly. The present study is the first report of Haff disease complicated by multiple organ failure after crayfish consumption. A 66-year-old Chinese man ate cooked crayfish on the night of June 23, 2013. He arrived at our hospital 2 days later and was admitted to the intensive care unit. After admission, the patient was diagnosed with Haff disease complicated by multiple organ failure. Despite supportive and symptomatic treatments, the condition of the patient deteriorated, and he died due to his illness. Haff disease is a rare clinical syndrome that is sometimes misdiagnosed. Early diagnosis and proper treatment are essential to prevent progression to multiple organ failure.
authors.affiliation: Intensive Care Unit, Gongli Hospital, Second Military Medical University, Shanghai, China.
authors.forename: Gang
authors.initials: G
authors.lastname: Feng
authors.affiliation: Intensive Care Unit, Gongli Hospital, Second Military Medical University, Shanghai, China.
authors.forename: Qiancheng
authors.initials: Q
authors.lastname: Luo
authors.affiliation: Intensive Care Unit, Gongli Hospital, Second Military Medical University, Shanghai, China.
authors.forename: Ping
authors.initials: P
authors.lastname: Zhuang
authors.affiliation: Intensive Care Unit, Gongli Hospital, Second Military Medical University, Shanghai, China.
authors.forename: Enwei
authors.initials: E
authors.lastname: Guo
authors.affiliation: Intensive Care Unit, Gongli Hospital, Second Military Medical University, Shanghai, China.
authors.forename: Yulan
authors.initials: Y
authors.lastname: Yao
authors.affiliation: Office of Teaching, Gongli Hospital, Second Military Medical University, Shanghai, China.
authors.forename: Zhongyu
authors.initials: Z
authors.lastname: Gao
mesh_terms: D000368:Aged; D000818:Animals; D003400:Astacoidea; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D009102:Multiple Organ Failure / Q000209:etiology* / Q000503:physiopathology; D012206:Rhabdomyolysis / Q000209:etiology* / Q000503:physiopathology; D017747:Seafood / Q000506:poisoning; D057096:Shellfish Poisoning / Q000175:diagnosis / Q000503:physiopathology*